Active NPI
Kenneth J Wolok, DO
- Family Medicine Physician
- Sterling Heights, MI
National Provider Identifier
1194715557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101007340
- Practice address
- 37450 Dequindre Rd
Sterling Heights, MI 48310-3503 - Phone
- (586) 979-5100
- Fax
- (586) 979-6198
- NPI assigned
- Oct 26, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101007340 | MI | Primary |
Addresses
Primary practice location
37450 Dequindre Rd
Sterling Heights, MI 48310-3503
Mailing address
37450 Dequindre Rd
Sterling Heights, MI 48310-3503
Phone (586) 979-5100
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
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
37450 Dequindre Rd
Sterling Heights, MI 48310-3503
Phone (586) 979-5100
6445 W Maple Rd
West Bloomfield Nursing Center
West Bloomfield, MI 48322-2047
Phone (248) 592-2002
Hospital & facility affiliations
- Beaumont Home Health
- Residential Home Health
- Optimal Care Home Health
- Parc Home Care
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital - Farmington Hills
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007340 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NDS Radiology PLLC | Current | Accepting new patients | |
| NDS Radiology Inc. | Family Medicine | Current | Accepting new patients |
| Cherrywood Nursing & Living Center | Past | Accepting new patients |
Locations
39595 W 10 Mile Rd
Ste 102
Novi, MI 48375
Phone (248) 476-6980
28700 Cabot Dr
Ste 500
Novi, MI 48377
Phone (248) 476-6980
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Sterling Heights, MI
- NPI 1639264344
-
- Clinic/Center
- Novi, MI
- NPI 1548259948
-
- Skilled Nursing Facility
- Sterling HTS, MI
- NPI 1881695617
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- Home Health Agency
- Farmington Hills, MI
- NPI 1194906776
-
- Home Health Agency
- Bingham Farms, MI
- NPI 1588697841
-
- Home Health Agency
- Troy, MI
- NPI 1992768550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1194715557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37450 DEQUINDRE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483103503",
"telephone_number": "586-979-5100",
"fax_number": "586-979-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37450 DEQUINDRE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483103503",
"telephone_number": "586-979-5100",
"fax_number": "586-979-6198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLOK",
"first_name": "KENNETH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101007340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.