Organization Active NPI

Pikal PLC

  • Internal Medicine Physician
  • Waterford, MI
National Provider Identifier
1083999486
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RP064302 Issued in MI
Legal business name
PIKAL PLC
Practice address
3775 Lakewood Dr
Waterford, MI 48329-3949
Phone
(248) 909-1296
Fax
(248) 541-6862
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Robert Pikal, MDNPI 1295759389
Title
Owner
Phone
(248) 909-1296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X RP064302 MI Primary

Addresses

Primary practice location

3775 Lakewood Dr
Waterford, MI 48329-3949

Mailing address

3775 Lakewood Dr
Waterford, MI 48329-3949
Phone (248) 909-1296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120118000609 MI Part B Supplier - Clinic/Group Practice 1254508005 Receives reassigned benefits from 4 practitioners
Practice locations: Berkley, MI; Royal Oak, MI

National Provider Directory

National Provider Directory

Locations

2905 W 12 Mile Rd
Berkley, MI 48072
Phone (248) 541-0770

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1083999486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 LAKEWOOD DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293949",
            "telephone_number": "248-909-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 LAKEWOOD DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293949",
            "telephone_number": "248-909-1296",
            "fax_number": "248-541-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "PIKAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-909-1296",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "RP064302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.