Active NPI
Dearborn Medical Associates, P.C.
- Internal Medicine Physician
- Dearborn, MI
National Provider Identifier
1316182777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301062467
- Legal business name
- DEARBORN MEDICAL ASSOCIATES, P.C.
- Practice address
- 19855 West Outer Dr.
Suite L7
Dearborn, MI 48124-2022 - Phone
- (313) 277-4929
- Fax
- (313) 561-1842
- NPI assigned
- Dec 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Urszula Anna Studzinski, M.D.
- Title
- M.D. / Owner
- Phone
- (313) 277-4929
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301062467 | MI | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301062467 | MI | |
| General Practice Physician | 208D00000X | 4301062467 | MI |
Addresses
Primary practice location
19855 West Outer Dr.
Suite L7
Dearborn, MI 48124-2022
Mailing address
P.O. Box 250704
6725 Daly Rd.
West Bloomfield, MI 48325-0704
Phone (248) 788-7706
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136372 | Other | MI | CARE CHOICES HEALTH PLAN |
| G37726 | Other | MI | PPOM |
| 3355617 | Medicaid | MI | |
| OM13040 | Other | MI | MEDCARE ID-TYPE UNSPECIFIED |
| 0824714 | Other | MI | BCBSM |
| G37725 | Other | MI | PRIORITY HEALTH |
| G37726 | Other | MI | SELECTCARE |
| P00197310 | Other | MI | RAILROAD MEDICARE |
| 923-1 | Other | MI | TOTAL HEALTH CARE |
| G37726 | Other | MI | HAP |
| 0P10000 | Other | MI | MEDICARE ID-TYPE UNSPECIFIED |
| 1108247142 | Other | MI | BLUE CROSS BLUE SHIELD |
| 0P10000001 | Other | MI | MEDICARE |
| 0P10000001 | Other | MI | MEDICARE BLUE CROSS |
| 1108247142 | Other | MI | FEDERAL BLUE CROSS BLUE SHIELD |
| 136372 | Other | MI | CARE CHOICES HMO |
| 1108247142 | Other | MI | BLUE CARE NETWORK OF MICHIGAN |
| 12052 | Other | MI | CAPE HEALTHPLAN |
| DR82155 | Other | MI | MCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
19855 Outer Dr
#L7
Dearborn, MI 48124
Phone (313) 277-4929
19855 Outer Dr
Ste 203W
Dearborn, MI 48124
Phone (313) 277-4929
19855 Outer Dr
Ste L7
Dearborn, MI 48124
Phone (313) 277-4929
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1558424259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308268800000",
"number": "1316182777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 250704",
"address_2": "6725 DALY RD.",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483250704",
"telephone_number": "248-788-7706",
"fax_number": "248-788-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19855 WEST OUTER DR.",
"address_2": "SUITE L7",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242022",
"telephone_number": "313-277-4929",
"fax_number": "313-561-1842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEARBORN MEDICAL ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-12",
"last_updated": "2011-06-17",
"status": "A",
"authorized_official_last_name": "STUDZINSKI",
"authorized_official_first_name": "URSZULA",
"authorized_official_middle_name": "ANNA",
"authorized_official_title_or_position": "M.D. / OWNER",
"authorized_official_telephone_number": "313-277-4929",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301062467",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301062467",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "MI",
"license": "4301062467",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES HEALTH PLAN",
"identifier": "136372",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPOM",
"identifier": "G37726",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3355617",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCARE ID-TYPE UNSPECIFIED",
"identifier": "OM13040",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0824714",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "G37725",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECTCARE",
"identifier": "G37726",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00197310",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOTAL HEALTH CARE",
"identifier": "923-1",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "G37726",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIFIED",
"identifier": "0P10000",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1108247142",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0P10000001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE BLUE CROSS",
"identifier": "0P10000001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLUE CROSS BLUE SHIELD",
"identifier": "1108247142",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES HMO",
"identifier": "136372",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK OF MICHIGAN",
"identifier": "1108247142",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE HEALTHPLAN",
"identifier": "12052",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "DR82155",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
- Dearborn Heart & Vascular Associates PLLC
- Dearborn Internist P.C.
- Dearborn Kidney Center LLC
- Dearborn Life Care Physical Therapy, LLC
- Dearborn Medical & Rehabilitation Center
- Dearborn Medical Institute PC
- Dearborn Medical Supplies Inc
- Dearborn Medical Supply
- Dearborn Medical Walkin Clinic
- Dearborn Nuro Clinic PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.