Active NPI
Emma E Cermak, MD
- Obstetrics & Gynecology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301508556
- Practice address
- 400 Mack Ave
Detroit, MI 48201-2136 - Phone
- (313) 448-9650
- NPI assigned
- Mar 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2018019493 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | 4301508556 | MI | Primary |
Addresses
Primary practice location
400 Mack Ave
Detroit, MI 48201-2136
Mailing address
400 Mack Ave
Detroit, MI 48201-2136
Phone (313) 448-9006
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230522000821 | MI | Practitioner - Obstetrics/Gynecology | 3870806110 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Obstetrics & Gynecology | Current | Accepting new patients |
| University Physician Group | Past | Accepting new patients | |
| University Physician Group | Past | Accepting new patients | |
| VHS Harper-Hutzel Hospital Inc | Past | Accepting new patients |
Locations
3990 John R St
Ste 4240
Detroit, MI 48201
Phone (248) 556-6428
400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006
400 Mack Ave
Ste 2
Detroit, MI 48201
Phone (313) 448-9006
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
26400 W 12 Mile Rd
Ste 111
Southfield, MI 48034
Phone (248) 357-4151
26400 W 12 Mile Rd
Ste 145
Southfield, MI 48034
Phone (248) 359-8034
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Interoperability endpoints
- emma.cermak.1@19711.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
MI, Obstetrics & Gynecology
-
- Counselor
- Detroit, MI
- NPI 1447465661
-
- Social Worker
- Livonia, MI
- NPI 1154360402
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Physician Group
Practice addresses (Care Compare)
400 Mack Ave 2
Detroit Mack Health Center
Detroit, MI 48201-2136
Phone (313) 448-9006
Hospital & facility affiliations
- Harper University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1609190255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012136",
"telephone_number": "313-448-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012136",
"telephone_number": "313-448-9650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERMAK",
"first_name": "EMMA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-24",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2018019493",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301508556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.