Active NPI
Mikel Mikhail, MD
- Retina Specialist (Ophthalmology) Physician
- Royal Oak, MI
National Provider Identifier
1710412671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 4301111662
- Practice address
- 3555 W 13 Mile Rd
Ste LL-20
Royal Oak, MI 48073-6710 - Phone
- (248) 288-2280
- Fax
- (248) 288-5644
- NPI assigned
- Apr 27, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301111662 | MI | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 4301111662 | MI | Primary |
Addresses
Primary practice location
3555 W 13 Mile Rd
Ste LL-20
Royal Oak, MI 48073-6710
Mailing address
39650 Orchard Hill PL
Ste 200
Novi, MI 48375-5391
Phone (248) 319-0161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301111662 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Past | Accepting new patients | |
| Diabetes Reimbursement Specialists | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Kettering Health Medical Group
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
- Ophthalmology Physician
- Atlanta, GA
- NPI 1538453402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1710412671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39650 ORCHARD HILL PL",
"address_2": "STE 200",
"city": "NOVI",
"state": "MI",
"postal_code": "483755391",
"telephone_number": "248-319-0161",
"fax_number": "248-319-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 W 13 MILE RD",
"address_2": "STE LL-20",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736710",
"telephone_number": "248-288-2280",
"fax_number": "248-288-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKHAIL",
"first_name": "MIKEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-27",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301111662",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "MI",
"license": "4301111662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.