Tammy Samuel Dusevic, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101014333 Issued in MI

Practice address

13425 19 Mile Rd Ste 100
Sterling HTS, MI 48313

Phone

(586) 843-3935

Fax

(586) 843-3947

NPI assigned

Mar 3, 2006

Last updated

Mar 12, 2019By the provider in NPPES

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

Other identifiers 1

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

Specialty

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

McLaren MacombGroup PAC ID 8921912791, 131 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Home Health Home health agency, Clinton Township, MI, CCN 237172
• McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• McLaren Macomb

  • Internal Medicine Physician
  • Mount Clemens, MI
  • NPI 1396014601

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Botsford General Hospital

  dba Midwest Urgent Care

  • Urgent Care Clinic/Center
  • Redford, MI
  • NPI 1831402056
  NPD (past)
• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1316938327
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Health Management Group

  dba McLaren Home Health

  • Home Health Agency
  • Clinton TWP, MI
  • NPI 1609989805
  Care Compare affiliation
• McLaren Macomb

  • Psychiatric Hospital Unit
  • Shelby Township, MI
  • NPI 1184206385
  Care Compare affiliation
• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1316938327
  Care Compare affiliation

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1255308615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13425 19 MILE RD STE 100",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483131991",
            "telephone_number": "586-843-3935",
            "fax_number": "586-843-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 19 MILE RD STE 100",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "48313",
            "telephone_number": "586-843-3935",
            "fax_number": "586-843-3947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19041 E 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480662609",
            "country_code": "US",
            "telephone_number": "586-758-6263",
            "fax_number": "586-758-7725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUSEVIC",
        "first_name": "TAMMY",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255308615",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Daywalt, DPT
• Derek L Bittner DCPC (Bittner Chiropractic Center)
• Monir Azam Dibai, M.D.
• Odeta Dinella, DDS
• Micah Duncan-Walker
• Garret Edwards
• ENT Physicians,P.C
• Farrah F Ahmad MD PLLC
• Marsha Renee' Fillion Reznick
• First Global Medical Supply Corp (First Global Medical Corp)

• Family Medicine Physician in Sterling HTS, MI
• Providers in Sterling HTS, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.

Verify at the official NPI Registry.