NPIMap

Organization Active NPI

Joram O Mogaka MD PC

  • Internal Medicine Physician
  • Roseville, MI
National Provider Identifier
1861434136
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JORAM O MOGAKA MD PC
Practice address
25959 Kelly Rd Ste a
Roseville, MI 48066-4991
Phone
(586) 944-2131
Fax
(586) 842-3728
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Joram O Mogaka, MDNPI 1255407631
Title
MD
Phone
(313) 283-2211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

25959 Kelly Rd Ste a
Roseville, MI 48066-4991

Mailing address

25959 Kelly Rd Ste a
Roseville, MI 48066-4991
Phone (586) 944-2131

Other identifiers 6

IdentifierTypeStateIssuer
1108235572OtherMIBLUE CROSS BLUE SHIELD
1861434136OtherMIGROUP NPI
1255407631OtherMIINDIVUDAL NPI NUMBER
700H271450OtherMIUNITED FAMILY BC
1205126216OtherMIUNITED FAMILY GR
472234510MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050506000412 MI Part B Supplier - Clinic/Group Practice 7416997606 Receives reassigned benefits from 5 practitioners
Practice locations: Roseville, MI

National Provider Directory

National Provider Directory

Locations

20051 Kelly Rd
Harper Woods, MI 48225
Phone (313) 372-5570

28429 5 Mile Rd
Livonia, MI 48154
Phone (734) 266-9990

25959 Kelly Rd
Ste A
Roseville, MI 48066
Phone (586) 774-9010

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1861434136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25959 KELLY RD STE A",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664991",
            "telephone_number": "586-944-2131",
            "fax_number": "586-842-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25959 KELLY RD STE A",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664991",
            "telephone_number": "586-944-2131",
            "fax_number": "586-842-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORAM O MOGAKA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "MOGAKA",
        "authorized_official_first_name": "JORAM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "313-283-2211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1108235572",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1861434136",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVUDAL NPI NUMBER",
            "identifier": "1255407631",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED FAMILY BC",
            "identifier": "700H271450",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED FAMILY GR",
            "identifier": "1205126216",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472234510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.