Individual provider Active NPI

Caitlyn Lee Klaska, MD

  • Obstetrics & Gynecology Physician
  • Farmington Hills, MI
National Provider Identifier
1770997629
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301105399 Issued in MI
Practice address
28555 Orchard Lake Rd Ste 120
Farmington Hills, MI 48334
Phone
(248) 489-1070
Fax
(248) 489-0850
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301105399 MI Primary

Addresses

Primary practice location

28555 Orchard Lake Rd Ste 120
Farmington Hills, MI 48334

Mailing address

28555 Orchard Lake Rd Ste 120
Farmington Hills, MI 48334-2973
Phone (248) 489-1070

Other practice location 1

909 W Maple Rd Ste 110
Clawson, MI 48017-1000
Phone (248) 288-1237

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
I20180726001741 MI Practitioner - Obstetrics/Gynecology 5991922148 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of Michigan PLCGroup PAC ID 0345626073, 91 clinicians
Beaumont Medical Group Hospital Based ServicesGroup PAC ID 3072875889, 575 clinicians

Practice addresses (Care Compare)

28555 Orchard Lake Rd
Suite 120
Farmington Hills, MI 48334-2973
Phone (248) 489-1070

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-0575

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187

44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301105399MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of Michigan PLC Obstetrics & Gynecology CurrentSince Apr 12, 2024 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Aug 1, 2018 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Aug 1, 2018 Accepting new patients
Metro Partners in Womens Health, PC Obstetrics & Gynecology Past Accepting new patients

Locations

909 W Maple Rd
Ste 110
Clawson, MI 48017
Phone (248) 288-1237

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

2221 Livernois Rd
Ste 101
Troy, MI 48083
Phone (248) 544-0360

Interoperability endpoints

  • Direct secure messaging: cklaska1241821@epic00.shdirect.org
  • Direct secure messaging: caitlyn.klaska.1@26060.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1770997629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28555 ORCHARD LAKE RD STE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342973",
            "telephone_number": "248-489-1070",
            "fax_number": "248-489-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28555 ORCHARD LAKE RD STE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-489-1070",
            "fax_number": "248-489-0850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 W Maple Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Clawson",
            "state": "MI",
            "postal_code": "480171000",
            "country_code": "US",
            "telephone_number": "248-288-1237",
            "fax_number": "248-288-9211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLASKA",
        "first_name": "CAITLYN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301105399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.