Kayla Gacioch, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601012986 Issued in MI

Practice address

2300 Biddle Ave Ste 100
Wyandotte, MI 48192-4650

Phone

(734) 246-5705

NPI assigned

Apr 21, 2025

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kgacioch1083899@direct.hfhs.org

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

• Fadi Delly, MD PC

  dba Premier Neurology & Pain Specialists

  • Interventional Pain Medicine Physician
  • Wyandotte, MI
  • NPI 1992170187
  NPD (past)
• Ghazwan Atto MD PC

  dba Downriver Medical Associates

  • Internal Medicine Physician
  • Wyandotte, MI
  • NPI 1669554903
  NPD (past)

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1073300588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924650",
            "telephone_number": "734-246-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BIDDLE AVE STE 100",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924650",
            "telephone_number": "734-246-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACIOCH",
        "first_name": "KAYLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Fritz, LMSW
• David Frond, PHARMD
• Rachel Fuentes, D.O
• Michelle M. Fundaro, LMSW
• Hamsa Gabbara, MD
• Mary Adel Gad, DO
• Jacqueline Gadigian
• Riteesh Babu Gajjela, M.D
• Karen Rose Gallagher, ATC
• Balbir Gandhi, MD

• Physician Assistant in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.