Active NPI
Justin M. Panzica, PA
- Physician Assistant
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6861175
- Practice address
- 44201 Dequindre Rd
Troy, MI 48085-1117 - Phone
- (248) 964-4866
- NPI assigned
- Sep 5, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601007114 | MI | |
| Physician Assistant | 363A00000X | PA17836 | TX | |
| Physician Assistant | 363A00000X | 6861175 | ID | Primary |
Addresses
Primary practice location
44201 Dequindre Rd
Troy, MI 48085-1117
Mailing address
5605 N Macarthur Blvd
Irving, TX 75038-2617
Other practice location 1
5605 N MacArthur Blvd Ste 740
Irving, TX 75038
Phone (214) 960-5681 ext. 75
Other practice location 2
709 N Lincoln Ave
Jerome, ID 83338-1851
Phone (208) 814-9500
Other practice location 3
1140 N State St
Saint Ignace, MI 49781-1048
Phone (303) 390-1940
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpanzica25224@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TX, ID, IL, FL, AZ, TN, WI, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
107 E Beckert Rd
New London, WI 54961-2509
Phone (920) 982-5354
1140 N State St
Saint Ignace, MI 49781-1048
Phone (906) 643-7999
221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175
2700 W Honadel Blvd
Oak Creek, WI 53154-2650
Phone (414) 435-2005
3601 N Calais St
Baylor Scott and White Surgical Hosp
Sherman, TX 75090-1785
Phone (903) 870-2994
520 N 4TH Ave
Pasco, WA 99301-5257
Phone (214) 960-5681
W4266 County Rd X
Owen, WI 54460-3301
Phone (715) 229-2172
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10369 | AZ | MD | Pharmacist |
| 6861175 | ID | MD | Physician Assistant |
| 5601007114 | MI | MD | Physician Assistant |
| PA17836 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Physician Assistant | Current | Accepting new patients |
| Post Acute Specialists, LLC | Current | Accepting new patients | |
| Texas Post Acute Specialists, PA | Current | Accepting new patients | |
| Sound Inpatient Physicians-Michigan, PLLC | Physician Assistant | Current | Accepting new patients |
| Rural Physicians Group-Pannu PLLC | Current | Accepting new patients | |
| Mi Post Acute Specialists PC | Current | Accepting new patients | |
| Mackinac Straits Health System Inc | Past | Accepting new patients | |
| Mackinac Straits Health System Inc | Past | Accepting new patients | |
| Mackinac Straits Health System Inc | Past | Accepting new patients |
Locations
6051 E 34th St
Yuma, AZ 85365
Phone (928) 247-8300
5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111
709 N Lincoln Ave
Jerome, ID 83338
Phone (208) 324-4301
895 N 6th E
Mtn Home, ID 83647
Phone (208) 580-2661
471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550
818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
707 Armstrong Rd
Lansing, MI 48911
Phone (517) 393-5680
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466
805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525
3737 N Garland Ave
Garland, TX 75040
Phone (214) 315-6310
2712 Hurstview Dr
Hurst, TX 76054
Phone (817) 281-6407
520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140
Interoperability endpoints
- jpanzica25224@direct.beaumont.edu
Organizations & group practices 15
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
- Sherman, TX
- NPI 1336637123
-
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1235402728
WA
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1013425479
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
Physician Assistant
-
- Internal Medicine Physician
- Balch Springs, TX
- NPI 1609314392
-
- Internal Medicine Physician
- Novi, MI
- NPI 1457144933
-
- Internal Medicine Physician
- Adrian, MI
- NPI 1013180181
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Saint Ignace, MI
- NPI 1124283502
-
- General Acute Care Hospital
- Sherman, TX
- NPI 1235510090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1336540749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5605 N MACARTHUR BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750382617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44201 DEQUINDRE RD",
"city": "TROY",
"state": "MI",
"postal_code": "480851117",
"telephone_number": "248-964-4866"
}
],
"practiceLocations": [
{
"address_1": "5605 N MacArthur Blvd Ste 740",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "75038",
"country_code": "US",
"telephone_number": "214-960-5681 x75",
"fax_number": "214-960-5681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "709 N Lincoln Ave",
"address_purpose": "LOCATION",
"city": "Jerome",
"state": "ID",
"postal_code": "833381851",
"country_code": "US",
"telephone_number": "208-814-9500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1140 N State St",
"address_purpose": "LOCATION",
"city": "Saint Ignace",
"state": "MI",
"postal_code": "497811048",
"country_code": "US",
"telephone_number": "303-390-1940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANZICA",
"first_name": "JUSTIN",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-05",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007114",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA17836",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "6861175",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpanzica25224@direct.beaumont.edu",
"affiliation": "N",
"address_1": "44201 Dequindre Rd",
"city": "Troy",
"state": "MI",
"country_code": "US",
"postal_code": "480851117",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.