Individual provider Active NPI

Robert J Pikal, M.D.

  • Internal Medicine Physician
  • Waterford, MI
National Provider Identifier
1295759389
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301064302 Issued in MI
Practice address
3775 Lakewood Dr
Waterford, MI 48329-3949
Phone
(248) 909-1296
Fax
(248) 541-6862
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301064302 MI Primary

Addresses

Primary practice location

3775 Lakewood Dr
Waterford, MI 48329-3949

Mailing address

3775 Lakewood Dr
Waterford, MI 48329-3949
Phone (248) 909-1296

Other identifiers 1

IdentifierTypeStateIssuer
3376591MedicaidMI

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
I20100303000865 MI Practitioner - Internal Medicine 5092850925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pikal PLCGroup PAC ID 1254508005, 4 clinicians

Practice addresses (Care Compare)

2905 W 12 Mile Rd
Berkley, MI 48072-1413
Phone (248) 541-0770

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 551-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pikal PLC Internal Medicine CurrentSince Feb 1, 2012 Accepting new patients
SJMH Medical Practice-SMHC Internal Medicine Past Accepting new patients

Locations

2905 W 12 Mile Rd
Berkley, MI 48072
Phone (248) 541-0770

1695 12 Mile Rd
Ste 200
Berkley, MI 48072
Phone (248) 545-8690

44405 Woodward Ave
Ste H
Pontiac, MI 48341

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

3601 W 13 Mile Rd
Royal Oak, MI 48073

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.

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1295759389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 LAKEWOOD DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293949",
            "telephone_number": "248-909-1296",
            "fax_number": "248-541-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 LAKEWOOD DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293949",
            "telephone_number": "248-909-1296",
            "fax_number": "248-541-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKAL",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301064302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3376591",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.