Active NPI
Yoram Sorokin, M.D.
- Obstetrics & Gynecology Physician
- Detroit, MI
National Provider Identifier
1225075393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301054820
- Practice address
- 3990 John R
7 Brush North, Box 163
Detroit, MI 48201 - Phone
- (313) 993-1388
- Fax
- (313) 993-4100
- NPI assigned
- May 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301054820 | MI | Primary |
| Maternal & Fetal Medicine Physician | 207VM0101X | 4301054820 | MI |
Addresses
Primary practice location
3990 John R
7 Brush North, Box 163
Detroit, MI 48201
Mailing address
1420 Stephenson Hwy
Suite 400-Credentialing
Troy, MI 48083-1189
Phone (248) 581-5970
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YS054820 | Other | CHAMPUS-CHAMPUS | |
| 440701010 | Medicaid | MI | |
| 700H262210 | Other | BLUE CROSS-BLUE CROSS | |
| YS054820 | Other | COMMERCIAL-COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Women'S Care, Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| University Physician Group | Past | Accepting new patients |
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.
-
- Social Worker
- Livonia, MI
- NPI 1154360402
-
- 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": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1225075393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 STEPHENSON HWY",
"address_2": "SUITE 400-CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831189",
"telephone_number": "248-581-5970",
"fax_number": "248-581-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 JOHN R",
"address_2": "7 BRUSH NORTH, BOX 163",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-993-1388",
"fax_number": "313-993-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOROKIN",
"first_name": "YORAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301054820",
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MI",
"license": "4301054820",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "YS054820",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "440701010",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "700H262210",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "YS054820",
"state": null
}
],
"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 Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.