NPIMap

Individual provider Active NPI

Joshua Kenneth Palka, DO

  • Urology Physician
  • Howell, MI
National Provider Identifier
1942692363
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2020020218 Issued in MO
Practice address
620 Byron Rd Ste 1201
Howell, MI 48843
Phone
(517) 545-6548
Fax
(517) 545-6616
NPI assigned
Feb 22, 2015
Last updated
Jul 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2020020218 MO Primary

Addresses

Primary practice location

620 Byron Rd Ste 1201
Howell, MI 48843

Mailing address

20952 E 12 Mile Rd Ste 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820

Other practice location 1

25500 Meadowbrook Rd Ste 225
Novi, MI 48375
Phone (248) 426-1300

Other practice location 2

2300 Haggerty Rd Ste 2000
West Bloomfield, MI 48323
Phone (248) 624-9900

Other practice location 3

1 William Carls Dr Ste 210
Commerce Twp, MI 48382
Phone (248) 387-2733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617001738 MI Practitioner - Urology 7012219421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Institute of Urology PCGroup PAC ID 1052223492, 82 clinicians

Practice addresses (Care Compare)

25500 Meadowbrook Rd
Suite 225
Novi, MI 48375-1882
Phone (248) 426-1300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection24
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020020218MOMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services of Michigan, P.C. Urology CurrentSince Aug 1, 2021 Accepting new patients
Michigan Institute of Urology PC Urology CurrentSince Aug 1, 2021 Accepting new patients

Locations

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

1 William Carls Dr
Ste 210
Commerce Twp, MI 48382
Phone (248) 387-2733

620 Byron Rd
Ste 1201
Howell, MI 48843
Phone (517) 545-6000

25500 Meadowbrook Rd
Ste 225
Novi, MI 48375
Phone (248) 426-1300

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

2300 Haggerty Rd
Ste 2000
West Bloomfield, MI 48323
Phone (248) 624-9900

Interoperability endpoints

  • Direct secure messaging: jpalka@direct.dmc.org
  • Direct secure messaging: jpalka198172@direct.hfhs.org

Organizations & group practices 2

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.

Hospital & facility affiliations 12

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": "1424563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1942692363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD STE 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813203",
            "telephone_number": "586-771-4820",
            "fax_number": "586-771-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BYRON RD STE 1201",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "48843",
            "telephone_number": "517-545-6548",
            "fax_number": "517-545-6616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25500 Meadowbrook Rd Ste 225",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "48375",
            "country_code": "US",
            "telephone_number": "248-426-1300",
            "fax_number": "248-426-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Haggerty Rd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "48323",
            "country_code": "US",
            "telephone_number": "248-624-9900",
            "fax_number": "248-896-5450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 William Carls Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Commerce Twp",
            "state": "MI",
            "postal_code": "48382",
            "country_code": "US",
            "telephone_number": "248-387-2733",
            "fax_number": "248-387-2735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALKA",
        "first_name": "JOSHUA",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-22",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2020020218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.