Individual provider Active NPI

Shant Ara Korkigian, D.O.

  • Otolaryngology Physician
  • Novi, MI
National Provider Identifier
1639402258
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
5101018420 Issued in MI
Practice address
25500 Meadowbrook Rd Ste 220
Novi, MI 48375
Phone
(248) 477-7020
Fax
(248) 477-2440
NPI assigned
Sep 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 5101018420 MI Primary

Addresses

Primary practice location

25500 Meadowbrook Rd Ste 220
Novi, MI 48375

Mailing address

25500 Meadowbrook Rd Ste 220
Novi, MI 48375-1882
Phone (248) 477-7020

Other practice location 1

31100 Telegraph Rd Ste 230
Bingham Farms, MI 48025-4347
Phone (248) 477-7020

Other practice location 2

6249 Grand River Rd
Brighton, MI 48114-5305
Phone (810) 844-1900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shant.korkigian.1@2309.direct.athenahealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730013387 MI Practitioner - Otolaryngology 9739493057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Specialists PCGroup PAC ID 0648370874, 13 clinicians

Practice addresses (Care Compare)

25500 Meadowbrook Rd
Suite 220
Novi, MI 48375-1882
Phone (248) 477-7020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.99 of 100Reported as group
Quality
75.61
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Interoperability endpoints

  • Direct secure messaging: shant.korkigian.1@2309.direct.athenahealth.com
  • Direct secure messaging: skorkigian1135090@direct.hfhs.org

Organizations & group practices 1

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1639402258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 220",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751882",
            "telephone_number": "248-477-7020",
            "fax_number": "248-477-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 220",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48375",
            "telephone_number": "248-477-7020",
            "fax_number": "248-477-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31100 Telegraph Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254347",
            "country_code": "US",
            "telephone_number": "248-477-7020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6249 Grand River Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481145305",
            "country_code": "US",
            "telephone_number": "810-844-1900",
            "fax_number": "810-844-1981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORKIGIAN",
        "first_name": "SHANT",
        "middle_name": "ARA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "5101018420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shant.korkigian.1@2309.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "25500 Meadowbrook Rd Ste 220",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.