NICHOLAS JAMES BOURNIAS DDS
NPI 1144202045
Dentist - Oral and Maxillofacial Surgery in Clinton Township, MI
About Nicholas James Bournias Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS JAMES BOURNIAS DDS (NPI 1144202045) is an individual oral and maxillofacial surgery provider in Clinton Township, Michigan, licensed in Michigan (2901015573) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicholas James Bournias Dds 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicholas Bournias reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Bloomfield, MI 48322
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nicholas Bournias's NPI number?
The NPI number for Nicholas Bournias is 1144202045. It was assigned to this individual provider in the NPPES registry on November 16, 2005.
Where is Nicholas Bournias located?
Nicholas Bournias practices at 43900 Garfield Rd Ste 103, Clinton Township, MI 48038. The listed phone number is (586) 228-9070.
What is Nicholas Bournias's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Nicholas Bournias enrolled in Medicare?
Yes. Nicholas Bournias 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.
Which organization bills Medicare for Nicholas Bournias's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Bournias reassigns Medicare benefits to Michigan Oms P C (West Bloomfield, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Bournias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas Bournias accept?
Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Nicholas Bournias 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 Nicholas Bournias affiliated with any hospitals?
According to CMS data, Nicholas Bournias is affiliated with Beaumont Hospital Royal Oak.
When was this NPI record last updated?
The NPPES record for Nicholas Bournias was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nicholas James Bournias, DDS · NPI 1144202045
Oral and Maxillofacial Surgery provider in Clinton Township, Michigan. Individual provider, active in the CMS NPPES registry since November 16, 2005.
## Identity
- **NPI:** 1144202045 (Entity type: Individual)
- **Enumerated:** November 16, 2005
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 2901015573 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 43900 GARFIELD RD STE 103, Clinton Township, MI 48038-1137
- **Phone:** (586) 228-9070
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Michigan Oms P C (NPI 1801906458, West Bloomfield, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** December 6, 2023
- **Other identifiers:** Medicaid 3203473 (MI); Other NB015573 (MI); Medicaid 3159052 (MI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1144202045) · Data from the CMS NPPES public registry.