Active NPI
Andrew Vasyluk, M.D.
- Surgery Physician
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301107480
- Practice address
- 5415 Cardinal Square Blvd
Saginaw, MI 48604-8200 - Phone
- (989) 790-4855
- NPI assigned
- May 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301107480 | MI | Primary |
| Surgical Critical Care Physician | 2086S0102X | 4301504188 | MI |
Addresses
Primary practice location
5415 Cardinal Square Blvd
Saginaw, MI 48604-8200
Mailing address
26136 Cunningham Dr
Warren, MI 48091-1109
Phone (586) 863-6752
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Wayne State University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5415 Cardinal Square Blvd
Saginaw, MI 48604-8200
Phone (989) 790-4855
Hospital & facility affiliations
- Covenant Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301107480 | MI | MD | Surgery Physician |
| 4301504188 | MI | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc | Multi-Specialty | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Multi-Specialty | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Multi-Specialty | Past | Accepting new patients |
Locations
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
5415 Cardinal Square Blvd
Saginaw, MI 48604
Phone (989) 583-5679
Interoperability endpoints
- avasyluk102581@direct.covenanthealthcare.com
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.
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
Multi-Specialty
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1215316518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26136 CUNNINGHAM DR",
"city": "WARREN",
"state": "MI",
"postal_code": "480911109",
"telephone_number": "586-863-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 CARDINAL SQUARE BLVD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486048200",
"telephone_number": "989-790-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASYLUK",
"first_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-20",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301107480",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Critical Care",
"state": "MI",
"license": "4301504188",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.