Kevin M Omilusik, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

4301065619 Issued in MI

Practice address

224 Park Ave
Frankfort, MI 49635-9658

Phone

(231) 352-2990

NPI assigned

Jun 21, 2005

Last updated

Nov 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: komilusik@direct.mhc.net
• Direct secure messaging: kmomilusik@direct.bbahc.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Munson Medical Center

  dba Endocrinology and Metabolism

  • Endocrinology, Diabetes & Metabolism Physician
  • Traverse City, MI
  • NPI 1083761860
  Medicare reassignment NPD
• Paul Oliver Memorial Hospital

  • Critical Access Hospital
  • Frankfort, MI
  • NPI 1427054360
  Medicare reassignment NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Aleknagik North, AK
  • NPI 1235291246

  TX

  Medicare reassignment NPD
• Munson Medical Center

  dba Urgent Care-UCN

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1881623031
  NPD
• Munson Medical Center

  • Psychiatric Hospital Unit
  • Traverse City, MI
  • NPI 1891586103
  NPD
• Paul Oliver Memorial Hospital

  dba Frankfort Medical Group a Service of Paul Oliver Memorial Hospital

  • Rural Health Clinic/Center
  • Frankfort, MI
  • NPI 1306471305
  NPD
• Paul Oliver Memorial Hospital

  • Skilled Nursing Facility
  • Frankfort, MI
  • NPI 1649133943
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Koliganek, AK
  • NPI 1013079607
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Ekwok, AK
  • NPI 1104988799
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Pilot Point, AK
  • NPI 1174683825
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Platinum, AK
  • NPI 1285796870
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Levelock, AK
  • NPI 1366502767
  NPD

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1679579122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PARK AVE",
            "city": "FRANKFORT",
            "state": "MI",
            "postal_code": "496359658",
            "telephone_number": "231-352-2990",
            "fax_number": "231-835-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PARK AVE",
            "city": "FRANKFORT",
            "state": "MI",
            "postal_code": "496359658",
            "telephone_number": "231-352-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMILUSIK",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301065619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "komilusik@direct.mhc.net",
            "affiliation": "N",
            "address_1": "224 Park Ave",
            "city": "Frankfort",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496359658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Munson Dialysis Center (Elizabeth C. Hosick Dialysis Center)
• Bonnie Hahn Neitzke, NP
• Kevin Reed Nelson, OD
• New Wave Chiropractic PLLC
• North Star Family Chiropractic
• Paige Papineau, DPT
• Paul Oliver Memorial Hospital (Frankfort Medical Group a Service of Paul Oliver Memorial Hospital)
• Paul Oliver Memorial Hospital
• Paul Oliver Memorial Hospital
• Paul Oliver Memorial Hospital

• Emergency Medical Services (Emergency Medicine) Physician in Frankfort, MI
• Providers in Frankfort, MI by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.