Individual provider Active NPI

Enea Gjoka

  • Dermatology Physician
  • Flint, MI
National Provider Identifier
1225730625
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301512793 Issued in MI
Practice address
4444 W Bristol Rd Ste 150
Flint, MI 48507-3161
Phone
(833) 322-3376
NPI assigned
Mar 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301512793 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4444 W Bristol Rd Ste 150
Flint, MI 48507-3161

Mailing address

4444 W Bristol Rd Ste 150
Flint, MI 48507-3161
Phone (833) 322-3376

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615001248 MI Order and Referring Only - Emergency MedicinePractitioner - DermatologyPractitioner - Emergency Medicine 9032577564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4301512793MIMDDermatology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1225730625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 W BRISTOL RD STE 150",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073161",
            "telephone_number": "833-322-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W BRISTOL RD STE 150",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073161",
            "telephone_number": "833-322-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJOKA",
        "first_name": "ENEA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301512793",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.