NPIMap

Organization Active NPI

Metro Women's Health II, PLLC

Doing business as Hutzel Women's Health Specialists

  • Obstetrics & Gynecology Physician
  • Detroit, MI
National Provider Identifier
1992984744
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
METRO WOMEN'S HEALTH II, PLLC
Doing business as
Hutzel Women's Health Specialists
Practice address
4727 Saint Antoine St
Suite 304
Detroit, MI 48201-1461
Phone
(313) 745-0499
Fax
(313) 833-8801
NPI assigned
Oct 29, 2007
Last updated
Jun 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Dr. David Kmak, MDNPI 1700826252
Title
Owner
Phone
(313) 833-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

4727 Saint Antoine St
Suite 304
Detroit, MI 48201-1461

Mailing address

PO Box 29693
Belfast, ME 04915-2048
Phone (313) 833-8800

Other names 1

  • Hutzel Women's Health Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080119000031 MI Part B Supplier - Clinic/Group Practice 5092896787 Receives reassigned benefits from 14 practitioners
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

7148 Reliable Pkwy
Chicago, IL 60686

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1992984744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29693",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152048",
            "telephone_number": "313-833-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 SAINT ANTOINE ST",
            "address_2": "SUITE 304",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011461",
            "telephone_number": "313-745-0499",
            "fax_number": "313-833-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO WOMEN'S HEALTH II, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "KMAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-833-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hutzel Women's Health Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hutzel Women's Health Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.