NPIMap

Individual provider Active NPI

Japhia Rachel Kurikesu, PA-C

  • Physician Assistant
  • Madison Heights, MI
National Provider Identifier
1225877624
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012467 Issued in MI
Practice address
350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Phone
(248) 716-8600
NPI assigned
May 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012467 MI Primary

Addresses

Primary practice location

350 E 12 Mile Rd
Madison Heights, MI 48071-2531

Mailing address

350 E 12 Mile Rd
Madison Heights, MI 48071-2531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218003916 MI Practitioner - Physician Assistant 8820525595 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Michigan Medical School, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Get Well Urgent Care Dearborn PLCGroup PAC ID 7911373170, 18 clinicians
Get Well Urgent Care Downriver PLCGroup PAC ID 5193061992, 19 clinicians
Get Well Urgent Care Detroit PLCGroup PAC ID 0941657126, 15 clinicians
Get Well Urgent Care Harper Woods PLCGroup PAC ID 5698145506, 14 clinicians
Southfield City Urgent Care PCGroup PAC ID 5698948354, 22 clinicians
Oak Park Urgent Care PLLCGroup PAC ID 6305169988, 23 clinicians
Hoover Urgent Care of Warren PLLCGroup PAC ID 6204073752, 38 clinicians
Get Well Urgent Care Pontiac PLCGroup PAC ID 2961872726, 16 clinicians

Practice addresses (Care Compare)

13244 W Warren Ave
Dearborn, MI 48126-1415
Phone (313) 380-1200

1770 Fort St
Lincoln Park, MI 48146-1904
Phone (313) 466-4000

19335 Grand River Ave
Detroit, MI 48223-1201
Phone (313) 955-0000

19959 Vernier Rd
Suite 400
Harper Woods, MI 48225-1423
Phone (313) 499-1951

23832 Southfield Rd
Southfield, MI 48075-8000
Phone (248) 569-2600

24661 Coolidge Hwy
Oak Park, MI 48237-1449
Phone (248) 398-4000

26000 Hoover Rd
Warren, MI 48089-1167
Phone (586) 722-0707

983 Orchard Lake Rd
Pontiac, MI 48341-2785
Phone (248) 900-9970

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601012467MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harper Woods Urgent Care and Medical Center PLLC PastSince Jul 7, 2019 Accepting new patients

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1225877624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712531",
            "telephone_number": "248-716-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIKESU",
        "first_name": "JAPHIA",
        "middle_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.