Organization Active NPI

Oakland Medical Services, P.C.

  • Otolaryngology Physician
  • Royal Oak, MI
National Provider Identifier
1114028263
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
OAKLAND MEDICAL SERVICES, P.C.
Practice address
30701 Woodward Ave Ste 200
Royal Oak, MI 48073-0990
Phone
(248) 737-4030
Fax
(248) 307-7873
NPI assigned
Sep 25, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Michael Rontal, M.D.NPI 1184688483
Title
President
Phone
(248) 737-4030

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

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20050803000184 MI Part B Supplier - Clinic/Group Practice 5597793265 Receives reassigned benefits from 7 practitioners
Practice locations: Royal Oak, MI

National Provider Directory

National Provider Directory

Locations

3555 W 13 Mile Rd
Ste 200
Royal Oak, MI 48073
Phone (248) 254-8204

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X MI Primary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YX0007X MI

Addresses

NPPES NPI Registry

Primary practice location

30701 Woodward Ave Ste 200
Royal Oak, MI 48073-0990

Mailing address

30701 Woodward Ave Ste 200
Royal Oak, MI 48073-0990
Phone (248) 737-4030

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
040F313070OtherMIBCBSM

Other names 1

NPPES NPI Registry
  • The Rontal Clinic;The Rontal Clinic, PC,The Rontal-Akervall Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2021.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1114028263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30701 WOODWARD AVE STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730990",
            "telephone_number": "248-737-4030",
            "fax_number": "248-307-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30701 WOODWARD AVE STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730990",
            "telephone_number": "248-737-4030",
            "fax_number": "248-307-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "RONTAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-737-4030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "040F313070",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rontal Clinic;The Rontal Clinic, PC,The Rontal-Akervall Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Rontal Clinic;The Rontal Clinic, PC,The Rontal-Akervall Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.