Dedicated Physicians Group of Michigan, PLLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

DEDICATED PHYSICIANS GROUP OF MICHIGAN, PLLC

Practice address

20001 W 7 Mile Rd
Detroit, MI 48219-3403

Phone

(313) 794-5111

NPI assigned

Mar 19, 2021

Organization subpart

Yes

Parent organization

DEDICATED SENIOR MEDICAL CENTERAs reported in NPPES

Name

Mary Chen

Title

Executive Officer

Phone

(305) 628-6117

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Dedicated Physicians Group of Michigan PLLC7 organizations share this tax ID, including this one

Part of

Dedicated Physicians Group of Michigan PLLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Dedicated Physicians Group of Michigan PLLC

  • Non-Pharmacy Dispensing Site
  • Detroit, MI
  • NPI 1366028730
  NPD tax ID
• Dedicated Physicians Group of Michigan PLLC

  • Non-Pharmacy Dispensing Site
  • Warren, MI
  • NPI 1518543982
  NPD tax ID
• Dedicated Physicians Group of Michigan PLLC

  • Non-Pharmacy Dispensing Site
  • Detroit, MI
  • NPI 1588339451
  NPD tax ID
• Dedicated Physicians Group of Michigan PLLC

  • Non-Pharmacy Dispensing Site
  • Eastpointe, MI
  • NPI 1730754656
  NPD tax ID
• Dedicated Physicians Group of Michigan PLLC

  • Non-Pharmacy Dispensing Site
  • Southfield, MI
  • NPI 1982280038
  NPD tax ID
• Dedicated Physicians Group of Michigan, PLLC

  • Internal Medicine Physician
  • Miami Gardens, FL
  • NPI 1992392393
  NPD tax ID

• Dedicated Senior Medical Center Detroit North Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2021.

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1346826401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20001 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193403",
            "telephone_number": "313-794-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED PHYSICIANS GROUP OF MICHIGAN, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEDICATED SENIOR MEDICAL CENTER",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-628-6117"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dedicated Senior Medical Center Detroit North",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dedicated Senior Medical Center Detroit North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Declercq, MD
• Kristina Declue, CPS
• Linda Camaj Deda, MD
• Dedicated Physicians Group of Michigan PLLC
• Dedicated Physicians Group of Michigan PLLC
• Dedicated to Helping Ministries Outreach Church
• Jaclyn Dedvukaj
• Ashley Marie Deeb, AU.D.
• Rasha Mohammed I Deebajah, MD
• Mohanad Mohi Deen, MD

• All providers in Detroit, MI
• Non-Pharmacy Dispensing Site in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.