Individual provider Active NPI

Robin Mika, D.O.

  • Family Medicine Physician
  • Brighton, MI
National Provider Identifier
1801829429
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RM007113 Issued in MI
Practice address
10415 Grand River Rd
Ste 100
Brighton, MI 48116-6533
Phone
(810) 227-1020
Fax
(810) 227-4930
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RM007113 MI Primary

Addresses

Primary practice location

10415 Grand River Rd
Ste 100
Brighton, MI 48116-6533

Mailing address

10415 Grand River Rd
Ste 100
Brighton, MI 48116-6533
Phone (810) 227-1020

Other identifiers 1

IdentifierTypeStateIssuer
1363440MedicaidMI

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
I20080409000727 MI Practitioner - Family Practice 8224115639 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RM007113MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Internal Medicine Associates PLLC CurrentSince Jun 12, 2017 Accepting new patients

Locations

10415 Grand River Rd
Ste 100
Brighton, MI 48116
Phone (810) 227-1020

2300 Haggerty Rd
Ste 2190
West Bloomfield, MI 48323
Phone (248) 960-1122

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801829429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 GRAND RIVER RD",
            "address_2": "STE 100",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166533",
            "telephone_number": "810-227-1020",
            "fax_number": "810-227-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 GRAND RIVER RD",
            "address_2": "STE 100",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166533",
            "telephone_number": "810-227-1020",
            "fax_number": "810-227-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKA",
        "first_name": "ROBIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "RM007113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1363440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.