NPIMap

Individual provider Active NPI

David W Prieskorn, D.O.

  • Orthopaedic Surgery Physician
  • Novi, MI
National Provider Identifier
1114922523
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DP010040 Issued in MI
Practice address
25500 Meadowbrook Rd
Ste 275
Novi, MI 48375-1878
Phone
(248) 381-5777
Fax
(248) 381-5779
NPI assigned
Jun 14, 2005
Last updated
Jun 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DP010040 MI Primary

Addresses

Primary practice location

25500 Meadowbrook Rd
Ste 275
Novi, MI 48375-1878

Mailing address

25500 Meadowbrook Rd
Ste 275
Novi, MI 48375-1878
Phone (248) 381-5777

Other identifiers 1

IdentifierTypeStateIssuer
2854149MedicaidMI

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
I20100526001112 MI Practitioner - Orthopedic Surgery 1557358413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgery Specialists PLLCGroup PAC ID 4981859725, 2 clinicians
VMD Primary Providers Eastern Michigan PCGroup PAC ID 9234480575, 63 clinicians

Practice addresses (Care Compare)

25500 Meadowbrook Rd
Suite 275
Novi, MI 48375-1884
Phone (248) 381-5777

39475 Lewis Dr
Suite 130
Novi, MI 48377-2977
Phone (312) 465-7898

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement33
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DP010040MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Eastern Michigan, PC CurrentSince Sep 4, 2021 Accepting new patients
Envision Medical Group PLLC CurrentSince Jan 1, 2016 Accepting new patients
Meadowbrook Medical Devices LLC Orthopaedic Surgery Current Accepting new patients
Envision Medical Group PLLC CurrentSince Jan 1, 2016 Accepting new patients
Oakland Rehabilitation Associates PLLC Past Accepting new patients

Locations

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442

25500 Meadowbrook Rd
Ste 275
Novi, MI 48375
Phone (248) 381-5777

29409 Haggerty Rd
Novi, MI 48377
Phone (248) 471-0675

29409 Haggerty Rd
Ste 100
Novi, MI 48377
Phone (248) 471-0675

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

39475 Lewis Dr
Ste 200
Novi, MI 48377
Phone (248) 471-0675

Interoperability endpoints

  • Direct secure messaging: david.prieskorn.1@21803.direct.athenahealth.com
  • Direct secure messaging: dprieskorn@ossortho.directglo.com

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1114922523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "STE 275",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751878",
            "telephone_number": "248-381-5777",
            "fax_number": "248-381-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "STE 275",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751878",
            "telephone_number": "248-381-5777",
            "fax_number": "248-381-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIESKORN",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "DP010040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2854149",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.