Charles D Mok, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5101010912 Issued in MI

Practice address

8180 26 Mile Rd
Suite 300
Shelby Township, MI 48316-5129

Phone

(586) 786-5900

Fax

(586) 992-9331

NPI assigned

May 16, 2006

Last updated

May 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vein Center at Allure Medical Spa, PLLC

  • Surgery Physician
  • Shelby Township, MI
  • NPI 1457302051

  SC

  Medicare reassignment
• Charles Mok D.O., P.C.

  • Emergency Medicine Physician
  • Mount Clemens, MI
  • NPI 1740402031
  NPD (past) Authorized official
• Vein Center at Allure Medical Spa, PLLC

  dba Vein Center At Allure Medcial Spa, PLLC

  • Multi-Specialty Clinic/Center
  • Greenville, SC
  • NPI 1336636786
  Authorized official Same address or phone
• Inlet Vein Specialists

  • Phlebology Physician
  • Greenville, SC
  • NPI 1528089729
  NPD
• Vein Center at Allure Medical Spa, PLLC

  • Ambulatory Surgical Clinic/Center
  • Shelby Township, MI
  • NPI 1932678281
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1235181876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 26 MILE RD STE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165139",
            "telephone_number": "586-992-8300",
            "fax_number": "586-992-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 26 MILE RD",
            "address_2": "SUITE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165129",
            "telephone_number": "586-786-5900",
            "fax_number": "586-992-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOK",
        "first_name": "CHARLES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101010912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAUSAU INS CO",
            "identifier": "201981170",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARRINGTON BENEFITS",
            "identifier": "201981170",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5148205",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "010E018410",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.