DR. JORAM O MOGAKA MD
NPI 1255407631
Internal Medicine in Saint Clair Shores, MI
About Dr. Joram O Mogaka Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JORAM O MOGAKA MD (NPI 1255407631) is an individual internal medicine provider in Saint Clair Shores, Michigan, licensed in Michigan (076566) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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
Dr. Joram O Mogaka Md 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 Reassignments
4Medicare enrollment records show Joram Mogaka reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roseville, MI 48066
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
Warren, MI 48092
- Reassigned Medicare billing, Michigan enrollment
- 8 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Southfield, MI 48034
- Reassigned Medicare billing, Michigan enrollment
- 8 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.
Areas of Expertise CMS Part B claims 20
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Grosse Pointe
Acute Care Hospitals · Grosse Pointe, MIAscension St John Hospital
Acute Care Hospitals · Detroit, MISurgeons Choice Medical Center
Acute Care Hospitals · Southfield, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 11
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
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 Joram Mogaka's NPI number?
The NPI number for Joram Mogaka is 1255407631. It was assigned to this individual provider in the NPPES registry on November 28, 2006.
Where is Joram Mogaka located?
Joram Mogaka practices at 22631 Greater Mack Ave, Saint Clair Shores, MI 48080. The listed phone number is (586) 771-0100.
What is Joram Mogaka's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Joram Mogaka enrolled in Medicare?
Yes. Joram Mogaka 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 organizations bill Medicare for Joram Mogaka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joram Mogaka reassigns Medicare benefits to 4 organizations: Joram O Mogaka MD PC (Roseville, MI), K & M Medical & Catastrophic Management, LLC (Warren, MI), Universal Palliative Care Services PLLC (Southfield, MI) and House Mds Plc (Southfield, MI). Each 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 Joram Mogaka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joram Mogaka accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Joram Mogaka 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 Joram Mogaka affiliated with any hospitals?
According to CMS data, Joram Mogaka is affiliated with Beaumont Hospital - Grosse Pointe, Ascension St John Hospital and Surgeons Choice Medical Center.
When was this NPI record last updated?
The NPPES record for Joram Mogaka was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Joram O Mogaka, MD · NPI 1255407631
Internal Medicine physician in Saint Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since November 28, 2006.
## Identity
- **NPI:** 1255407631 (Entity type: Individual)
- **Enumerated:** November 28, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 076566 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 22631 GREATER MACK AVE, Saint Clair Shores, MI 48080-2055
- **Phone:** (586) 771-0100
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Joram O Mogaka MD PC (NPI 1861434136, Roseville, MI); K & M Medical & Catastrophic Management, LLC (NPI 1427669969, Warren, MI); Universal Palliative Care Services PLLC (NPI 1922803113, Southfield, MI); House Mds Plc (NPI 1790411221, Southfield, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** August 18, 2015
- **Other identifiers:** Medicare UPIN H84913 (MI); Medicaid 472234510 (MI); Other 1108235572 (MI); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1255407631) · Data from the CMS NPPES public registry.