Individual provider Active NPI

Mykola John Bartkiw, D.O.

  • Orthopaedic Surgery Physician
  • Auburn Hills, MI
National Provider Identifier
1861619736
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101016552 Issued in MI
Practice address
3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2774
Phone
(248) 377-8000
Fax
(248) 377-2929
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 5101016552 MI
Orthopaedic Surgery Physician 207X00000X 5101016552 MI Primary

Addresses

Primary practice location

3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2774

Mailing address

3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2774
Phone (248) 377-8000

Other identifiers 1

IdentifierTypeStateIssuer
1861619736MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Athena

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
I20110923000160 MI Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 0749312353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Michigan State University College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rau Physical Therapy IncGroup PAC ID 2365721339, 98 clinicians
Rochester Knee and Sports Medicine PCGroup PAC ID 1355387564, 31 clinicians

Practice addresses (Care Compare)

193 E Jefferson St
Frankenmuth, MI 48734-1935

3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2776
Phone (248) 377-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.53 of 100Reported as group
Quality
60.91
Promoting interoperability
98
Improvement activities
40
Cost
69.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101016552MIMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Knee & Sports Medicine PC CurrentSince Aug 12, 2013 Accepting new patients
Rochester Knee & Sports Medicine, PC Orthopaedic Surgery CurrentSince Aug 12, 2013 Accepting new patients
Michigan Institute for Advanced Surgery Center, LLC PastSince Jan 1, 2017 Accepting new patients
Metropolitan Enterprises Inc. Orthopaedic Surgery Past Accepting new patients

Locations

3100 Cross Creek Pkwy
Ste 200
Auburn Hills, MI 48326
Phone (248) 377-8000

3100 Cross Creek Pkwy
Ste 160
Auburn Hills, MI 48326
Phone (248) 364-4064

Interoperability endpoints

  • Direct secure messaging: mykola.bartkiw.1@16694.direct.athenahealth.com
  • Direct secure messaging: mbartkiw1116459@direct.hfhs.org

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1861619736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262774",
            "telephone_number": "248-377-8000",
            "fax_number": "248-377-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262774",
            "telephone_number": "248-377-8000",
            "fax_number": "248-377-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTKIW",
        "first_name": "MYKOLA",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MI",
            "license": "5101016552",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101016552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861619736",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "address_1": "3100 Cross Creek Pkwy",
            "address_2": "Suite 200",
            "city": "Auburn Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483262774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.