Active NPI
David Kamis
- Student in an Organized Health Care Education/Training Program
- Farmington Hills, MI
National Provider Identifier
1124493648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 29056 Forest Hill Dr
Farmington Hills, MI 48331-2487 - Phone
- (248) 489-0755
- NPI assigned
- Dec 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | Primary |
Addresses
Primary practice location
29056 Forest Hill Dr
Farmington Hills, MI 48331-2487
Mailing address
29056 Forest Hill Dr
Farmington Hills, MI 48331-2487
Phone (248) 489-0755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7 Rolling Ridge Rd
Randolph, NJ 07869-4506
Phone (855) 241-7160
7712 Windwood Way
Parker, CO 80134-6343
Phone (855) 241-7160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Moon of Colorado LLC | Current | Accepting new patients | |
| BMSC Az LLC | Current | Accepting new patients |
Locations
10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1124493648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29056 FOREST HILL DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483312487",
"telephone_number": "248-489-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29056 FOREST HILL DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483312487",
"telephone_number": "248-489-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMIS",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.