Individual provider Active NPI

Christopher P Czata, P.A.-C.

  • Medical Physician Assistant
  • Warren, MI
National Provider Identifier
1093885204
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601004363 Issued in MI
Practice address
27560 Hoover
Warren, MI 48093-3400
Phone
(586) 757-6400
Fax
(586) 757-8400
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601004363 MI Primary

Addresses

Primary practice location

27560 Hoover
Warren, MI 48093-3400

Mailing address

18001 E 10 Mile Rd
Roseville, MI 48066-3803
Phone (586) 247-4300

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000392 MI Practitioner - Physician Assistant 7214942200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601004363MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Endoscopy & Surgery Center, L.L.C. CurrentSince Mar 27, 2019 Accepting new patients

Locations

27540 Hoover Rd
Warren, MI 48093
Phone (586) 754-3160

27560 Hoover Rd
Warren, MI 48093
Phone (586) 573-5890

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1093885204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18001 E 10 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663803",
            "telephone_number": "586-247-4300",
            "fax_number": "313-300-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27560 HOOVER",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933400",
            "telephone_number": "586-757-6400",
            "fax_number": "586-757-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZATA",
        "first_name": "CHRISTOPHER",
        "middle_name": "P",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.