Michael Berkovic, DO

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

5101006685 Issued in MI

Practice address

27301 Dequindre Rd
Ste 314
Madison Heights, MI 48071-3473

Phone

(248) 399-4400

Fax

(248) 399-4840

NPI assigned

Nov 8, 2005

Last updated

Mar 25, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Oakland Medical Group PC

  dba Oakland Family Practice

  • Family Medicine Physician
  • Madison Heights, MI
  • NPI 1124053509
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1326029265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27301 DEQUINDRE RD",
            "address_2": "STE 314",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713473",
            "telephone_number": "248-399-4400",
            "fax_number": "248-399-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27301 DEQUINDRE RD",
            "address_2": "STE 314",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713473",
            "telephone_number": "248-399-4400",
            "fax_number": "248-399-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOVIC",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MI",
            "license": "5101006685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4385521-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Airazonna Marshay Benton
• Refaela Beqi, PHARMD
• Gary L Berg, D.O.
• Jessica L Bergeron, MA, BCBA, LBA
• Paulina Berishaj, LLMSW
• Richard Marvin Bernstein, D.D.S.
• Better Health Care Pharmacy LLC (Better Health Care Pharmacy)
• Betty J Thack Ma PLLC (Betty Thack MA LPC)
• BGS Pharmacy II LLC (Value Center Pharmacy II)
• Ravinder Kaur Bhatia-Deol, MSW

• Medical Oncology Physician in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Medical Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.