Individual provider Active NPI

Robert Sikorski, D.O.

  • Internal Medicine Physician
  • Westland, MI
National Provider Identifier
1033189097
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101006818 Issued in MI
Practice address
35150 Nankin Blvd
Suite 103
Westland, MI 48185-2091
Phone
(734) 513-1200
Fax
(734) 513-1201
NPI assigned
Jan 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101006818 MI Primary

Addresses

Primary practice location

35150 Nankin Blvd
Suite 103
Westland, MI 48185-2091

Mailing address

35150 Nankin Blvd
Suite 103
Westland, MI 48185-2091
Phone (734) 513-1200

Other identifiers 1

IdentifierTypeStateIssuer
4423050MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000384 MI Practitioner - Family Practice 9133264013 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101006818MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Eastern Michigan, PC Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients

Locations

39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502

35150 Nankin Blvd
Westland, MI 48185

35150 Nankin Blvd
Ste 10
Westland, MI 48185
Phone (734) 513-1200

35150 Nankin Blvd
Ste 103
Westland, MI 48185
Phone (734) 425-2090

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033189097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35150 NANKIN BLVD",
            "address_2": "SUITE 103",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852091",
            "telephone_number": "734-513-1200",
            "fax_number": "734-513-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35150 NANKIN BLVD",
            "address_2": "SUITE 103",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852091",
            "telephone_number": "734-513-1200",
            "fax_number": "734-513-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORSKI",
        "first_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101006818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4423050",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.