Hikmat P Gogue, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

4301044392 Issued in MI

Practice address

39242 Dequindre Rd
Suite 101
Sterling Heights, MI 48310-1764

Phone

(586) 446-8060

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: hgogue392604@direct.hfhs.org
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Hikmat P. Gogue, MD. PC

  • Pediatric Adolescent Medicine Physician
  • Sterling Heights, MI
  • NPI 1578927752
  NPD (past) Authorized official
• Gogue Pediatrics, P.C.

  • Pediatric Adolescent Medicine Physician
  • Sterling Heights, MI
  • NPI 1265921191
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1821066697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3352 CIRCLE DR",
            "city": "COMMERCE",
            "state": "MI",
            "postal_code": "483821957",
            "telephone_number": "586-446-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39242 DEQUINDRE RD",
            "address_2": "SUITE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483101764",
            "telephone_number": "586-446-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGUE",
        "first_name": "HIKMAT",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": "4301044392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4418981",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4423936",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vickie Gniewek
• Josh Michael Godlewski
• Stefani Elizabeth Goerlich, LMSW
• Jeremy Goetz, L.L.M.S.W.
• Gogue Pediatrics, P.C.
• Paul Luke Gogue, M.D.
• Rana Gogue, PA-C
• Albina Gojcaj
• Gary G. Golasa, D.D.S.
• Cornelia Alyscha Golden

• Pediatric Adolescent Medicine Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Pediatric Adolescent Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.