Active NPI
Chad R Mika, MD
- Emergency Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34008341
- Practice address
- 3131 Queen City Ave
Cincinnati, OH 45238-2316 - Phone
- (513) 557-3333
- Fax
- (513) 557-3332
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34008341 | OH | Primary |
Addresses
Primary practice location
3131 Queen City Ave
Cincinnati, OH 45238-2316
Mailing address
2831 Astoria Ave
Cincinnati, OH 45208-2303
Phone (248) 790-8623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2519082 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12150 30 Mile Rd
Washington, MI 48095-2035
Phone (586) 752-7256
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34008341 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Emergency Medicine | Current | Accepting new patients |
| Orchardview Physicians, PLLC | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Orchardview Physicians | Past | Accepting new patients | |
| Knox Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Care Specialists PC | Emergency Medicine | Past | Accepting new patients |
| Qualified Emergency Specialists Inc | Emergency Medicine | Past | Accepting new patients |
Locations
19401 Hubbard Dr
Dearborn, MI 48126
Phone (313) 982-8100
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
12150 30 Mile Rd
Ste 101
Washington Township, MI 48095
Phone (586) 752-7256
Interoperability endpoints
- cmika16842@direct.hfhs.org
Organizations & group practices 9
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.
-
- Occupational Medicine Physician
- Washington Township, MI
- NPI 1245311398
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1972681187
-
- Emergency Medicine Physician
- Mount Vernon, OH
- NPI 1861450066
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Emergency Medicine Physician
- Cincinnati, OH
- NPI 1700872728
-
- Emergency Medicine Physician
- Grand Rapids, MI
- NPI 1093766958
-
- Urgent Care Clinic/Center
- Washington Township, MI
- NPI 1649435256
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1457357287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 ASTORIA AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452082303",
"telephone_number": "248-790-8623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 QUEEN CITY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452382316",
"telephone_number": "513-557-3333",
"fax_number": "513-557-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKA",
"first_name": "CHAD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34008341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2519082",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.