Ted Miklas, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301405466 Issued in MI

Practice address

43700 Woodward Avenue
Suite 206
Bloomfield Hills, MI 48302

Phone

(248) 451-0668

Fax

(248) 451-0672

NPI assigned

Jul 16, 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

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

State licenses

Practice roles

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.

• Advanced Gynecology Specialists of Mi PC

  • Obstetrics & Gynecology Physician
  • Bloomfield Hills, MI
  • NPI 1205949450
  NPD (past)
• Michigan Neurosurgical Specialists PC

  • Clinic/Center
  • Waterford, MI
  • NPI 1295871770
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1891712873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVENUE",
            "address_2": "SUITE 206",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-451-0668",
            "fax_number": "248-451-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVENUE",
            "address_2": "SUITE 206",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-451-0668",
            "fax_number": "248-451-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLAS",
        "first_name": "TED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301405466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Reproductive Medicine
• Michigan Sleep Wellness, PLLC
• Micki Levin JD PHD
• Arnold Howard Migdal, DPM
• Nevena-Maria Mihailoff, MD
• Miletic Institute for Integrated Health PLLC
• Bruce Kenneth Miller, M.D.
• Darcianne Marie Miller, D.D.S.
• Durand Miller Jr., LPC
• Keith A Miller, LMSW

• Internal Medicine Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.