Individual provider Active NPI

Stefanija P Galovska, PA

  • Physician Assistant
  • Pontiac, MI
National Provider Identifier
1649603663
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008281 Issued in MI
Practice address
Trinity Health Iha Medical Group Neurosurgery
44555 Woodward Ave Suite 305
Pontiac, MI 48341
Phone
(248) 858-3812
Fax
(248) 858-3815
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601008281 MI Primary

Addresses

Primary practice location

Trinity Health Iha Medical Group Neurosurgery
44555 Woodward Ave Suite 305
Pontiac, MI 48341

Mailing address

24 Frank Lloyd Wright Drive
Suite J2000
Ann Arbor, MI 48105
Phone (734) 747-6766

Other practice location 1

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-8432

Other names 1

  • Stefania P Nikoloski Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgalovska6572206@direct.beaumont.edu Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106001598 MI Practitioner - Physician Assistant 0547526634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Olma Specialty Services LLCGroup PAC ID 8426464884, 42 clinicians

Practice addresses (Care Compare)

1854 W Auburn Rd
Rochester Hills, MI 48309-3868

28100 Grand River Ave
Farmington Hills, MI 48336-5970

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-0535

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-2270

5315 Elliott Dr
201 Trinity Health Iha Medical Group Hepato
Ypsilanti, MI 48197-8634
Phone (248) 287-7820

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601008281MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Olma Specialty Services LLC CurrentSince Jan 15, 2025 Accepting new patients
Iha Olma Specialty Services LLC Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

Interoperability endpoints

  • Direct secure messaging: sgalovska4080999@direct.trinity-health.org
  • Direct secure messaging: sgalovska6572206@direct.beaumont.edu
  • Direct secure messaging: sgalovska1705654@epic00.shdirect.org

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1649603663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRINITY HEALTH IHA MEDICAL GROUP NEUROSURGERY",
            "address_2": "44555 WOODWARD AVE SUITE 305",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-858-3812",
            "fax_number": "248-858-3815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44201 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851117",
            "country_code": "US",
            "telephone_number": "248-964-8432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALOVSKA",
        "first_name": "STEFANIJA",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2025-03-12",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgalovska6572206@direct.beaumont.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "44201 Dequindre Rd",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480851117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEFANIA",
            "last_name": "NIKOLOSKI",
            "middle_name": "P",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.