Organization Active NPI

Benjamin Krpichak M.D. P.C.

  • Physical Medicine & Rehabilitation Physician
  • Novi, MI
National Provider Identifier
1427227461
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
BK078415 Issued in MI
Legal business name
BENJAMIN KRPICHAK M.D. P.C.
Practice address
39595 W 10 Mile Rd
Novi, MI 48375-2948
Phone
(248) 476-7462
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. Benjamin Krpichak, M.D.
Title
Medical Director
Phone
(248) 302-7682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X BK078415 MI Primary

Addresses

Primary practice location

39595 W 10 Mile Rd
Novi, MI 48375-2948

Mailing address

PO Box 287
Novi, MI 48376-0287
Phone (248) 302-7682

Other identifiers 1

IdentifierTypeStateIssuer
4781266MedicaidMI

National Provider Directory

National Provider Directory

Locations

39595 W 10 Mile Rd
Novi, MI 48375
Phone (248) 476-0035

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1427227461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483760287",
            "telephone_number": "248-302-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39595 W 10 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752948",
            "telephone_number": "248-476-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN KRPICHAK M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "KRPICHAK",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-302-7682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "BK078415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4781266",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.