KEVIN M OMILUSIK M.D.
NPI 1679579122
Emergency Medicine - Emergency Medical Services in Frankfort, MI

Active since June 21, 2005PECOS Enrolled
224 PARK AVE, FRANKFORT, MI 49635(231) 352-2990 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 23, 2022, Jul 26, 2022, Feb 8, 2022 and 3 more (6 updates tracked since 2019).

About Kevin M Omilusik M.d. NPPES

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

KEVIN M OMILUSIK M.D. (NPI 1679579122) is an individual emergency medical services provider in Frankfort, Michigan, licensed in Michigan (4301065619) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679579122
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameKEVIN M OMILUSIKCredential: M.D.
Location Address224 PARK AVEFrankfort, MI 49635-9658
Mailing Address224 Park AveFrankfort, MI 49635-9658 · (231) 352-2990 · Fax (231) 835-2534
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateNovember 23, 20226 updates tracked since enumeration
NPPES CertifiedNovember 23, 2022
✔ NPI 1679579122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in MI · 4301065619
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
224 PARK AVE, Frankfort, MI 49635

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin M Omilusik M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kevin Omilusik reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
224 PARK AVE
Frankfort, MI 49635
  • Reassigned Medicare billing, Michigan enrollment
  • 28 clinicians in this Medicare group
Gynecologic Oncology
1105 SIXTH ST
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 492 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
7105 NE 40TH ST
Vancouver, WA 98661
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Bristol Bay Area Health Corporation
  • 360 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49635 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

Occupational Therapist (Hand)
224 PARK AVE
FRANKFORT, MI 49635
Occupational Therapist
224 PARK AVE
FRANKFORT, MI 49635
Physical Therapist
224 PARK AVE
FRANKFORT, MI 49635
Clinic/Center (Rural Health)
224 PARK AVE
FRANKFORT, MI 49635
Family Medicine
224 PARK AVE
FRANKFORT, MI 49635
Orthopaedic Surgery
224 PARK AVE
FRANKFORT, MI 49635
Pediatrics
224 PARK AVE
FRANKFORT, MI 49635
General Acute Care Hospital (Critical Access)
224 PARK AVE
FRANKFORT, MI 49635

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 Kevin Omilusik's NPI number?

The NPI number for Kevin Omilusik is 1679579122. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Kevin Omilusik located?

Kevin Omilusik practices at 224 Park Ave, Frankfort, MI 49635. The listed phone number is (231) 352-2990.

What is Kevin Omilusik's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Kevin Omilusik enrolled in Medicare?

Yes. Kevin Omilusik is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Omilusik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Omilusik reassigns Medicare benefits to 3 organizations: Paul Oliver Memorial Hospital (Frankfort, MI), Munson Medical Center (Traverse City, MI) and Cowlitz Indian Tribe (Vancouver, WA). 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 Kevin Omilusik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Omilusik was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.