Individual provider Active NPI

Michael David Rebock, DO

  • Surgery Physician
  • Farmington Hills, MI
National Provider Identifier
1982796355
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101011373 Issued in MI
Practice address
28050 Grand River Ave Ste 208
Farmington Hills, MI 48336-5919
Phone
(248) 471-8030
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101011373 MI Primary
Surgery Physician 208600000X MR011373 MI

Addresses

Primary practice location

28050 Grand River Ave Ste 208
Farmington Hills, MI 48336-5919

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

28080 Grand River
208 N
Farmington Hills, MI 48336
Phone (248) 478-7733

Other identifiers 2

IdentifierTypeStateIssuer
020F31144OtherBCBS OF MI
323358011MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrebock1252458@epic00.shdirect.org

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
I20090401000231 MI Practitioner - General Surgery 1557433000 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Philadelphia College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians
Michael D Rebock DO PLCGroup PAC ID 0446317713, 3 clinicians

Practice addresses (Care Compare)

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8000

28080 Grand River Ave
Suite 208N
Farmington Hills, MI 48336-5966
Phone 24847180307

28100 Grand River Ave
Farmington Hills, MI 48336-5970

Hospital & facility affiliations

  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
94.77
Promoting interoperability
100
Improvement activities
40
Cost
80.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy97
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux33
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MR011373MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Eastern Michigan, PC CurrentSince May 26, 2022 Accepting new patients
Envision Medical Group PLLC CurrentSince Jul 12, 2014 Accepting new patients
Envision Medical Group PLLC CurrentSince Jul 12, 2014 Accepting new patients
Michael D Rebock DO PLC Surgery CurrentSince Jan 1, 2009 Accepting new patients
Botsford General Hospital Past Accepting new patients

Locations

10415 Grand River Rd
Ste 100
Brighton, MI 48116
Phone (810) 227-1020

28050 Grand River Ave
Ste 208
Farmington Hills, MI 48336
Phone (248) 471-8030

28080 Grand River Ave
Ste 208
Farmington Hills, MI 48336
Phone (248) 471-8030

28080 Grand River Ave
Ste 208N
Farmington Hills, MI 48336
Phone (248) 471-8030

1225 S Latson Rd
Ste 380
Howell, MI 48843
Phone (248) 465-5140

42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442

39475 Lewis Dr
Ste 200
Novi, MI 48377
Phone (248) 471-0675

39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502

Interoperability endpoints

  • Direct secure messaging: mrebock1148749@direct.hfhs.org
  • Direct secure messaging: mrebock1252458@epic00.shdirect.org

Organizations & group practices 6

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1982796355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28050 GRAND RIVER AVE STE 208",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365919",
            "telephone_number": "248-471-8030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28080 Grand River",
            "address_2": "208 N",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "48336",
            "country_code": "US",
            "telephone_number": "248-478-7733",
            "fax_number": "248-478-3533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REBOCK",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101011373",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "MR011373",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "020F31144",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323358011",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrebock1252458@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "28050 Grand River Ave Ste 208",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483365919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.