NPIMap

Individual provider Active NPI

Andrey Alex Volkov, D.O

  • Neurological Surgery Physician
  • Detroit, MI
National Provider Identifier
1023270477
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
5101017730 Issued in MI
Practice address
22201 Moross Rd
Suite 352
Detroit, MI 48236-2169
Phone
(313) 343-7900
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 5101017730 MI Primary

Addresses

Primary practice location

22201 Moross Rd
Suite 352
Detroit, MI 48236-2169

Mailing address

22201 Moross Rd
Suite 352
Detroit, MI 48236-2169
Phone (313) 343-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150820009783 MI Practitioner - Neurosurgery 2062727043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22201 Moross Rd
Suite 352
Detroit, MI 48236-2176
Phone (313) 343-7900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion196
Laminectomy or laminotomy (partial removal of spine bones)22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101017730MIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group CurrentSince Sep 1, 2015 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Sep 1, 2015 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Aug 1, 2017 Accepting new patients
Henry Ford Cornerstone Medical Group Current Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital Neurological Surgery CurrentSince Aug 1, 2017 Accepting new patients
Henry Ford Semi Medical Group Current Accepting new patients
St. John Hospital Past Accepting new patients

Locations

42645 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 286-0050

22201 Moross Rd
Ste 352
Grosse Pointe, MI 48236
Phone (313) 343-7747

22201 Moross Rd
Ste 380
Grosse Pointe Woods, MI 48236
Phone (313) 343-4437

17700 23 Mile Rd
Ste 303
Macomb, MI 48044
Phone (313) 343-7900

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

17900 23 Mile Rd
Ste 303
Macomb, MI 48044
Phone (586) 868-9020

17900 23 Mile Rd
Ste 306
Macomb, MI 48044
Phone (313) 647-3900

37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050

Interoperability endpoints

  • Direct secure messaging: avolkov1156705@direct.hfhs.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1023270477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD",
            "address_2": "SUITE 352",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362169",
            "telephone_number": "313-343-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD",
            "address_2": "SUITE 352",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362169",
            "telephone_number": "313-343-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLKOV",
        "first_name": "ANDREY",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "5101017730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.