DR. IVAN KAMIKOVSKI M.D.
NPI 1073953030
Surgery in Southfield, MI

Q: What is Ivan Kamikovski's NPI number?

The NPI number for Ivan Kamikovski is 1073953030. It was assigned to this individual provider in the NPPES registry on July 4, 2013.

Q: What is Ivan Kamikovski's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Ivan Kamikovski was last updated on July 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 04, 2013PECOS EnrolledAccepts Medicare Assignment

16001 W 9 MILE RD, SOUTHFIELD, MI 48075(248) 849-3073 Get Directions Write a Review

NPPES record last updated: July 4, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Ivan Kamikovski M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IVAN KAMIKOVSKI M.D. (NPI 1073953030) is an individual surgery provider in Southfield, Michigan, licensed in Michigan (4301103823) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1073953030

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. IVAN KAMIKOVSKICredential: M.D.

Location Address16001 W 9 MILE RDSouthfield, MI 48075-4818

Mailing Address22655 Fairmont Dr, 201Farmington Hills, MI 48335-4067 · (917) 575-7418

Phone(248) 849-3073

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 4, 2013

✔ NPI 1073953030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 4301103823

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

16001 W 9 MILE RD, Southfield, MI 48075

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ivan Kamikovski M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032597935

PECOS Enrollment IDI20220606001377

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

73 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

38 services38 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

20 services20 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

Glacial Ridge Hospital

Critical Access Hospitals · Glenwood, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241376

Location10 4th Avenue SoutheastGlenwood, MN 56334 · Pope County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN ARIE KROLL M.D.

Anesthesiology

16001 W 9 MILE RD
SOUTHFIELD, MI 48075

Oakland County (248) 849-3000

HENRY FORD HEALTH PROVIDENCE HOSPITAL

Pediatrics (Neonatal-Perinatal Medicine)

16001 W 9 MILE RD
SOUTHFIELD, MI 48075

Oakland County (248) 849-3000

MARY LYNN MEISEL CRNA

Nurse Anesthetist, Certified Registered

16001 W 9 MILE RD
SOUTHFIELD, MI 48075

Oakland County (248) 849-5806

MS. JESSICA L BEACOME ACNP

Nurse Practitioner (Acute Care)

16001 W 9 MILE RD, 101 FISCHER CENTER
SOUTHFIELD, MI 48075

Oakland County (248) 849-8716

TRACY CHASE GROVES CRNA

Nurse Anesthetist, Certified Registered

16001 W 9 MILE RD
SOUTHFIELD, MI 48075

Oakland County (248) 849-5806

TERESEA ANN ZARZA NP

Nurse Practitioner (Adult Health)

16001 W 9 MILE RD
SOUTHFIELD, MI 48075

Oakland County (248) 849-2528

DR. LINDSAY ANNE RICHMOND-PRUNEAU M.D.

Emergency Medicine

16001 W 9 MILE RD
SOUTHFIELD, MI 48075

Oakland County (248) 849-3000

NICOLE NOEL SILVESTRI NP

Nurse Practitioner (Family)

16001 W 9 MILE RD
SOUTHFIELD, MI 48075

Oakland County (248) 849-5806

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Kamikovski's NPI number?

The NPI number for Ivan Kamikovski is 1073953030. It was assigned to this individual provider in the NPPES registry on July 4, 2013.

Where is Ivan Kamikovski located?

Ivan Kamikovski practices at 16001 W 9 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 849-3073.

What is Ivan Kamikovski's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ivan Kamikovski enrolled in Medicare?

Yes. Ivan Kamikovski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ivan Kamikovski accept?

Health plans from Medica and Sanford Health Plan list Ivan Kamikovski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ivan Kamikovski affiliated with any hospitals?

According to CMS data, Ivan Kamikovski is affiliated with St Cloud Hospital and Glacial Ridge Hospital.

When was this NPI record last updated?

The NPPES record for Ivan Kamikovski was last updated on July 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.