Active NPI
Bernard Gonik, MD
- Maternal & Fetal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 4301040951
- Practice address
- Sinai Grace Hospital-Atenatal Diagnostic Unit
6071 W Outer Dr
Detroit, MI 48235 - Phone
- (313) 966-1880
- Fax
- (313) 966-1816
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 4301040951 | MI | Primary |
Addresses
Primary practice location
Sinai Grace Hospital-Atenatal Diagnostic Unit
6071 W Outer Dr
Detroit, MI 48235
Mailing address
1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1189
Phone (313) 966-1880
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Michigan State University College of Human Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-1785
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| University Physician Group | Past | Accepting new patients | |
| University Women'S Care, Inc | Past | Accepting new patients | |
| University Physician Group | Past | Accepting new patients | |
| University Physician Group | Past | Accepting new patients |
Locations
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
4201 Saint Antoine St
Ste 4C
Detroit, MI 48201
Phone (313) 993-8645
3980 John R St
#4
Detroit, MI 48201
Phone (313) 745-7641
400 Mack Ave
#2W
Detroit, MI 48201
9230 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 875-9270
26400 W 12 Mile Rd
Ste 145
Southfield, MI 48034
Phone (248) 359-8034
1560 E Maple Rd
Ste 400
Troy, MI 48083
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Interoperability endpoints
- bgonik@direct.dmc.org
- bernard.gonik.1@19711.direct.athenahealth.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 and National Provider Directory roles.
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- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Speech-Language Pathologist
- Detroit, MI
- NPI 1336417146
-
- Social Worker
- Livonia, MI
- NPI 1154360402
-
- Physical Therapist
- Novi, MI
- NPI 1336492354
-
- Counselor
- Detroit, MI
- NPI 1447465661
-
- Obstetrics & Gynecology Physician
- Detroit, MI
- NPI 1780623637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1164469680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E MAPLE RD",
"address_2": "SUITE 400-CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831189",
"telephone_number": "313-966-1880",
"fax_number": "313-966-1816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SINAI GRACE HOSPITAL-ATENATAL DIAGNOSTIC UNIT",
"address_2": "6071 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "48235",
"telephone_number": "313-966-1880",
"fax_number": "313-966-1816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONIK",
"first_name": "BERNARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MI",
"license": "4301040951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.