Individual provider Active NPI

Mark Edward Florek, M.D.

  • Internal Medicine Physician
  • Bloomfield Hills, MI
National Provider Identifier
1932163276
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301046918 Issued in MI
Practice address
42557 Woodward Ave Ste 210
Bloomfield Hills, MI 48304-5206
Phone
(248) 253-1608
Fax
(248) 253-1660
NPI assigned
Apr 13, 2006
Last updated
Jun 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301046918 MI Primary

Addresses

Primary practice location

42557 Woodward Ave Ste 210
Bloomfield Hills, MI 48304-5206

Mailing address

42557 Woodward Ave Ste 210
Bloomfield Hills, MI 48304-5206
Phone (248) 253-1608

Other identifiers 5

IdentifierTypeStateIssuer
700F37550OtherMIBCN
B43467OtherMIHAP
4696890-10MedicaidMI
700F37550OtherMIBCBSM
1962478743OtherMICOMMERCIAL

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
I20050125000893 MI Practitioner - Internal Medicine 8729038088 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince Jan 24, 2014 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jan 24, 2014 Accepting new patients
SJMH Medical Practice-SMHC Internal Medicine Past Accepting new patients

Locations

42557 Woodward Ave
Ste 130
Bloomfield Hills, MI 48304
Phone (248) 322-3088

42557 Woodward Ave
Ste 210
Bloomfield Hills, MI 48304
Phone (248) 253-1608

5701 Bow Pointe Dr
Ste 205
Clarkston, MI 48346
Phone (248) 625-5550

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

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

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1932163276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42557 WOODWARD AVE STE 210",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045206",
            "telephone_number": "248-253-1608",
            "fax_number": "248-253-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42557 WOODWARD AVE STE 210",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045206",
            "telephone_number": "248-253-1608",
            "fax_number": "248-253-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOREK",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301046918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "700F37550",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "B43467",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4696890-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700F37550",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1962478743",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.