Individual provider Active NPI

Michael Mikita, PA

  • Physician Assistant
  • Ypsilanti, MI
National Provider Identifier
1902454804
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012967 Issued in MI
Practice address
5333 McAuley Drive
Suite 3001
Ypsilanti, MI 48197
Phone
(716) 484-6700
Fax
(716) 664-7275
NPI assigned
Sep 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012967 MI Primary

Addresses

Primary practice location

5333 McAuley Drive
Suite 3001
Ypsilanti, MI 48197

Mailing address

24 Frank Lloyd Wright Drive
Suite J2000
Ann Arbor, MI 48105
Phone (734) 747-6766

Other practice location 1

1136 Central Ave
Dunkirk, NY 14048-3423
Phone (716) 484-6700

Other practice location 2

462 Fairmount Ave
Jamestown, NY 14701-2721
Phone (716) 484-6700

Other practice location 3

2605 W State St
Olean, NY 14760-5203
Phone (716) 484-6700

Other practice location 4

2A Park Way
Seneca, PA 16346
Phone (716) 484-6700

Other identifiers 2

IdentifierTypeStateIssuer
103775178MedicaidPA
06005494MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmikita@cecs.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191113002912 NY Practitioner - Physician Assistant 3072945013 Reassigns benefits to 2 organizations
I20250716002432 MI Practitioner - Physician Assistant 3072945013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Indiana University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2050 N Haggerty Rd
Suite 260
Canton, MI 48187-3796
Phone (734) 233-8700

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

31157 Woodward Ave
Royal Oak, MI 48073-0996
Phone (248) 336-0123

44344 Dequindre Rd
Sterling Heights, MI 48314-1040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.58 of 100Reported as group
Quality
39.81
Promoting interoperability
88
Improvement activities
40
Cost
83.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
023972NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Jun 1, 2025 Accepting new patients
Michigan Healthcare Professionals, P.C. CurrentSince Jun 1, 2025 Accepting new patients
Michigan Healthcare Professionals PC Past Accepting new patients

Locations

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

31157 Woodward Ave
Royal Oak, MI 48073
Phone (248) 288-2250

44344 Dequindre Rd
Ste 310
Sterling Heights, MI 48314
Phone (586) 997-3530

4600 Investment Dr
Ste 370
Troy, MI 48098
Phone (248) 267-5030

Interoperability endpoints

  • Direct secure messaging: michael.mikita.1@18740.direct.athenahealth.com

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 8

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1902454804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DRIVE",
            "address_2": "SUITE 3001",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "716-484-6700",
            "fax_number": "716-664-7275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1136 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "NY",
            "postal_code": "140483423",
            "country_code": "US",
            "telephone_number": "716-484-6700",
            "fax_number": "716-487-0166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "462 Fairmount Ave",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147012721",
            "country_code": "US",
            "telephone_number": "716-484-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2605 W State St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147605203",
            "country_code": "US",
            "telephone_number": "716-484-6700",
            "fax_number": "716-487-0166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2A Park Way",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "PA",
            "postal_code": "16346",
            "country_code": "US",
            "telephone_number": "716-484-6700",
            "fax_number": "716-487-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKITA",
        "first_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103775178",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06005494",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmikita@cecs.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2 Farm Colony Dr",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163655203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.