David Edwin Mika, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DM007282 Issued in MI

Practice address

10415 Grand River Rd
Ste 100
Brighton, MI 48116-6533

Phone

(810) 227-1020

Fax

(810) 227-4930

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By 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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Lee Internal Medicine Associates PLLC

  • Internal Medicine Physician
  • Brighton, MI
  • NPI 1821441783
  Medicare reassignment NPD
• Mika & Mika PC

  • Family Medicine Physician
  • Brighton, MI
  • NPI 1437336575
  Authorized official Same address or phone

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285659623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 GRAND RIVER RD",
            "address_2": "STE 100",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166533",
            "telephone_number": "810-227-1020",
            "fax_number": "810-227-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 GRAND RIVER RD",
            "address_2": "STE 100",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166533",
            "telephone_number": "810-227-1020",
            "fax_number": "810-227-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKA",
        "first_name": "DAVID",
        "middle_name": "EDWIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "DM007282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1321520",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Urgent Care
• Midwest Center for Sleep Disorders
• Midwest Center for Sleep Disorders LLC
• Robert M Mihalich, M.D.
• Mika & Mika PC
• Robin Mika, D.O.
• Corey Allen Milburn, B.S.
• Cassie Miller
• Cryssy Jewel Miller, LLMSW
• Renee M Miller, LMSW

• Family Medicine Physician in Brighton, MI
• Providers in Brighton, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.