Tavis Andrew Dancik, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301104646 Issued in MI

Practice address

30701 Woodward Ave Ste 333
Royal Oak, MI 48073-0987

Phone

(248) 847-2060

Fax

(248) 301-9780

NPI assigned

Jun 5, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

NephrologyAlso: Internal Medicine

Education

Wayne State University School of Medicine, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Kidney Care Beaumont Health - Berkley Dialysis facility, Berkley, MI, CCN 232732
• Fresenius Kidney Care Beaumont Health - Franklin Center Dialysis facility, Southfield, MI, CCN 232666
• DaVita Oak Park Dialysis Dialysis facility, Oak Park, MI, CCN 232613
• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tdancik562409@direct.hfhs.org
• Direct secure messaging: tavis.dancik.1@32431.direct.athenahealth.com

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.

• Tavis a. Dancik MD PLLC

  • Nephrology Physician
  • Royal Oak, MI
  • NPI 1679394589
  Medicare reassignment NPD Authorized official
• Jerry A Dancik, MD

  • Nephrology Physician
  • Royal Oak, MI
  • NPI 1366412066
  Medicare reassignment

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

• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1396971263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480120190",
            "telephone_number": "248-847-2060",
            "fax_number": "248-301-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30701 WOODWARD AVE STE 333",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730987",
            "telephone_number": "248-847-2060",
            "fax_number": "248-301-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCIK",
        "first_name": "TAVIS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A120868",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301104646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dam Family Dental, PLLC
• Jihan Daman, LLMSW
• Emily Damman
• Dana Ellen Macmillan M D P L L C
• Jerry A Dancik, MD
• Ruxandra Danciu, P.A.-C.
• Yashar Daneshjoo
• Mary Dangel-Palmer, CRNA
• Brianne Daniel, NP-C
• Joshua James Daniel, MD

• Nephrology Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.