Active NPI
Benjamin Krpichak M.D. P.C.
- Physical Medicine & Rehabilitation Physician
- Novi, MI
National Provider Identifier
1427227461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- BK078415
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4781266 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- Novi, MI
- NPI 1295915031
-
- Family Medicine Physician
- Novi, MI
- NPI 1629071170
-
- Adult Health Nurse Practitioner
- Bruce TWP, MI
- NPI 1730250135
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.