Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ivan Kamikovski, MD

Individual provider Surgery Physician · NPI 1073953030

Dr. Ivan Kamikovski, MD is an Orthopedic Surgery in Southfield, Michigan. Qualified in 2013, 13 years ago. Practices with University of Minnesota Physicians, a 156-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (248) 849-3073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301103823 (MI)

Record details

NPI number1073953030
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 4, 2013
Last updated in NPPESJuly 4, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice University Of Minnesota Physicians — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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