Organization Active NPI

Toni Ballitch Trate DO PC

  • General Practice Physician
  • Farmington Hills, MI
National Provider Identifier
1932396538
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TONI BALLITCH TRATE DO PC
Practice address
38215 W 10 Mile Rd Ste 8
Farmington Hills, MI 48335-2866
Phone
(248) 474-0955
Fax
(248) 474-1066
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Daryl Trate
Title
Business Manager
Phone
(248) 819-7486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

38215 W 10 Mile Rd Ste 8
Farmington Hills, MI 48335-2866

Mailing address

38215 W 10 Mile Rd Ste 8
Farmington Hills, MI 48335-2866
Phone (248) 474-0955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050311000395 MI Part B Supplier - Clinic/Group Practice 7719931740 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

38215 W 10 Mile Rd
Ste 8
Farmington Hills, MI 48335
Phone (248) 474-0955

30880 Beck Rd
Novi, MI 48377
Phone (248) 926-0009

Practitioners & affiliated clinicians

Practitioners 7

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1932396538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38215 W 10 MILE RD STE 8",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352866",
            "telephone_number": "248-474-0955",
            "fax_number": "248-474-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38215 W 10 MILE RD STE 8",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352866",
            "telephone_number": "248-474-0955",
            "fax_number": "248-474-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONI BALLITCH TRATE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "TRATE",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "248-819-7486"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.