Debora Ann Kaczynski, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

4301061553 Issued in MI

Practice address

18181 Oakwood Blvd
Dearborn, MI 48124-5032

Phone

(313) 593-1573

NPI assigned

Apr 4, 2006

Last updated

Mar 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dkaczynski@direct.swgeneral.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apollo Medical Group of Traverse City PLLC

  • Anesthesiology Physician
  • Traverse City, MI
  • NPI 1467093153
  Medicare reassignment NPD
• Munson Medical Group

  dba Traverse Heart and Vascular

  • Cardiovascular Disease Physician
  • Traverse City, MI
  • NPI 1821398322
  Medicare reassignment NPD
• Munson Medical Group

  dba MHC Cedarwoods Internal Medicine and Geriatrics

  • Geriatric Medicine (Internal Medicine) Physician
  • Traverse City, MI
  • NPI 1326801440
  NPD
• Munson Medical Group

  • Anesthesiology Physician
  • Traverse City, MI
  • NPI 1972225571
  NPD
• Anesthesia Associates at Foote Hospital, PC

  • Anesthesiology Physician
  • Jackson, MI
  • NPI 1033152376
  NPD (past)
• Northstar Anesthesia of Michigan II PC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1437268026
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1003878109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 WATERWAYS DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082783",
            "telephone_number": "734-913-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245032",
            "telephone_number": "313-593-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZYNSKI",
        "first_name": "DEBORA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301061553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sham Juratli, M.D.
• Haley Marie Jurczyszyn, DPT
• Jure Grahovac, M.D., P.C.
• Fatima Kaafarani, NP
• Safa Kabbani
• Ali N Kaddoura, M.D.
• Wafah Jawad Kadhim, MD
• Zahraa Ali Kadhim
• Mohamed Rami Kadi, DO
• Essa Kadiri, MD

• Anesthesiology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.