Nestor Halicki, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009374 Issued in MI

Practice address

5616 Highland Rd
Waterford, MI 48327-1926

Phone

(248) 674-2273

NPI assigned

Oct 10, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

76.04 of 100Reported as group

Quality

67.93

Promoting interoperability

100

Improvement activities

40

Cost

52.21

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Balance Rehab LLC

  • Physical Therapy Clinic/Center
  • Flint, MI
  • NPI 1629783402
  NPD (past)
• Quality Family Group PLC

  • Adult Medicine Physician
  • Detroit, MI
  • NPI 1982255196
  NPD (past)
• Wellstreet Urgent Care of Michigan

  • Non-Pharmacy Dispensing Site
  • Troy, MI
  • NPI 1649952052
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1609064070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 LINN ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101595",
            "telephone_number": "269-686-5800",
            "fax_number": "269-686-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271926",
            "telephone_number": "248-674-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALICKI",
        "first_name": "NESTOR",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1735036",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kris A Haase, DPM
• Lisa Renee Habermas, PT, DPT
• Melanie Anne Hager
• Margaret Eugenia Haglund, R.N., M.S.N., FNP-BC
• Mary Frances Halfpenny, RN
• Chad Patrick Hall, CPSS
• Indira Hall, L.M.S.W, LCSW, M.A.
• Jonathan Edward Hall
• Hallett Chiropractic
• Robert B Hallett, D.C.

• Family Medicine Physician in Waterford, MI
• Providers in Waterford, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.

Verify at the official NPI Registry.