NPIMap

Individual provider Active NPI

Olga Brushaber, DO

  • Gastroenterology Physician
  • Farmington Hills, MI
National Provider Identifier
1306259627
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5101021269 Issued in MI
Practice address
23133 Orchard Lake Rd Ste 200
Farmington Hills, MI 48336-3279
Phone
(248) 471-8950
Fax
(248) 471-9978
NPI assigned
Jun 4, 2014
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 5101021269 MI Primary

Addresses

Primary practice location

23133 Orchard Lake Rd Ste 200
Farmington Hills, MI 48336-3279

Mailing address

23133 Orchard Lake Rd Ste 200
Farmington Hills, MI 48336-3279
Phone (248) 471-8950

Other practice location 1

27301 Dequindre Rd Ste 314
Madison Heights, MI 48071-3459
Phone (248) 579-9220

Other practice location 2

1 William Carls Dr Ste 220
Commerce Twp, MI 48382-2201
Phone (248) 579-9220

Other identifiers 1

IdentifierTypeStateIssuer
5101021269OtherMIMI LICENSE

Other names 1

  • Olga Klyuchnikova Former name

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
I20200610003001 MI Practitioner - Gastroenterology 0941520597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Oakland Gastroenterology Associates PCGroup PAC ID 3274578661, 6 clinicians

Practice addresses (Care Compare)

1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (248) 579-9220

23133 Orchard Lake Rd
Suite 200
Farmington Hills, MI 48336-3279
Phone (248) 579-9220

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (248) 471-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.19 of 100Reported as group
Quality
94.97
Promoting interoperability
100
Improvement activities
40
Cost
86.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy108
Upper gastrointestinal (GI) endoscopy for acid reflux121

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Oakland Gastroenterology Associates PC Gastroenterology CurrentSince Jul 1, 2020 Accepting new patients

Locations

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

1 William Carls Dr
Ste 220
Commerce Twp, MI 48382
Phone (248) 579-9220

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

Interoperability endpoints

  • Direct secure messaging: olgabrushaber@soga.ssdirect.aprima.com

Organizations & group practices 1

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1306259627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363279",
            "telephone_number": "248-471-8950",
            "fax_number": "248-471-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363279",
            "telephone_number": "248-471-8950",
            "fax_number": "248-471-9978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27301 Dequindre Rd Ste 314",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480713459",
            "country_code": "US",
            "telephone_number": "248-579-9220",
            "fax_number": "248-426-7350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 William Carls Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Commerce Twp",
            "state": "MI",
            "postal_code": "483822201",
            "country_code": "US",
            "telephone_number": "248-579-9220",
            "fax_number": "248-426-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUSHABER",
        "first_name": "OLGA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101021269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE",
            "identifier": "5101021269",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLGA",
            "last_name": "KLYUCHNIKOVA",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.