Individual provider Active NPI

Cynthia Piko, MD

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1699754226
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301055175 Issued in MI
Practice address
4900 Mercury Dr
Dearborn, MI 48126-2947
Phone
(313) 982-4351
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301055175 MI Primary

Addresses

Primary practice location

4900 Mercury Dr
Dearborn, MI 48126-2947

Mailing address

4900 Mercury Dr
Dearborn, MI 48126-2947
Phone (313) 982-4351

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
I20040525000486 MI Practitioner - Internal Medicine 3173504446 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Healthcare, Inc. Current Accepting new patients
Oakwood Healthcare Inc CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Healthcare, Inc CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Oakwood Youth Programs, LLC Past Accepting new patients
Oakwood Healthcare Group II, LLC Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

4900 Mercury Dr
Ste 201
Dearborn, MI 48126
Phone (313) 565-5743

15500 Lundy Pkwy
Dearborn, MI 48126
Phone (313) 586-5011

23400 Michigan Ave
Ste 1205
Dearborn, MI 48124

4900 Mercury Dr
Dearborn, MI 48126
Phone (313) 608-6667

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

9650 Wayne Rd
#Teen
Romulus, MI 48174
Phone (734) 941-1400

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1699754226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MERCURY DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262947",
            "telephone_number": "313-982-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MERCURY DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262947",
            "telephone_number": "313-982-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKO",
        "first_name": "CYNTHIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301055175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.