Grayson Tishko, DDS
NPI 1164152468 · Student in an Organized Health Care Education/Training Program · Ann Arbor, MI
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grayson Tishko, DDS is a Student in an Organized Health Care Education/Training Program provider in Ann Arbor, MI (NPI 1164152468).
Provider details
- NPI number
- 1164152468
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2901601415 (MI)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 2901601415 (MI)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-10
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Frequently asked questions
- What is Grayson Tishko's NPI number?
- Grayson Tishko's National Provider Identifier (NPI) is 1164152468, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Grayson Tishko's specialty?
- Grayson Tishko is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Grayson Tishko located?
- Grayson Tishko's practice location on file with NPPES is 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5222.
- What is Grayson Tishko's phone number?
- The practice phone number listed in the NPPES registry for Grayson Tishko is (734) 232-6048.
- Does Grayson Tishko accept Medicare?
- Grayson Tishko is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Grayson Tishko's NPI active?
- Yes — Grayson Tishko's NPI (1164152468) is active in the NPPES registry as of the last update on 2024-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.