Active NPI
University Physician Group
- Internal Medicine Physician
- Detroit, MI
On this page
- Key facts
- Authorized official
- Other NPIs on the same Medicare enrollment9
- Other NPIs with the same Medicare PAC ID1
- Member organizations2
- Practitioners1,049
- Laboratory certificates & supplier records
- Medicare participation
- Medicare enrollment records2
- National Provider Directory
- Specialties & licenses15
- Addresses
- Other identifiers17
- Other names2
- NPI Registry JSON
- Other providers in Detroit, MI
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- UNIVERSITY PHYSICIAN GROUP
- Practice address
- 400 Mack Ave Ste 2
Detroit, MI 48201-2136 - Phone
- (313) 448-9006
- NPI assigned
- Jun 5, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mark S Juzych, MD
- Title
- Ceo
- Phone
- (877) 929-6342
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Member organizations 2
Organizations listed as members of this organization in the National Provider Directory.
Practitioners 1,049
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Detroit, MI
- NPI 1619181427
Family Medicine, MI
-
- Obstetrics & Gynecology Physician
- Detroit, MI
- NPI 1710189071
MI, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Detroit, MI
- NPI 1316398662
MI, Obstetrics & Gynecology
-
- Hematology & Oncology Physician
- Detroit, MI
- NPI 1205088556
Internal Medicine, MI
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0701623 | Wayne Health - Detroit Mack Health Center | Provider-performed microscopy | May 16, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060419000518 | MI | Part B Supplier - Clinic/Group Practice | 8628087681 |
Receives reassigned benefits from 755 practitioners 9 other NPIs on this enrollment Practice locations: Detroit, MI; Farmington Hills, MI; Flint, MI; Highland Park, MI; Livonia, MI; Roseville, MI; Southfield, MI; Southgate, MI… |
| O20230509001468 | OH | Part B Supplier - Clinic/Group Practice | 8628087681 |
Receives reassigned benefits from 2 practitioners Practice locations: Maumee, OH |
National Provider Directory
National Provider DirectoryLocations (25 of 77)
16045 Collections Ctr Dr
Chicago, IL 60693
31000 Lahser Rd
Ste 2
Beverly Hills, MI 48025
Phone (248) 647-0660
19725 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-2371
5680 Bow Pointe Dr
Clarkston, MI 48346
Phone (248) 620-9600
35776 Harper Ave
Clinton Twp, MI 48035
Phone (586) 792-3891
17000 Hubbard Dr
Ste 700
Dearborn, MI 48126
Phone (313) 271-2990
2841 Monroe St
Ste 1
Dearborn, MI 48124
Phone (313) 274-8900
4943 Schaeffer Rd
Dearborn, MI 48126
18501 Rotunda Dr
Ste 200
Dearborn, MI 48124
Phone (313) 996-1936
4201 Saint Antoine St
#6A
Detroit, MI 48201
Phone (313) 745-4627
6071 W Outer Dr
Ste M
Detroit, MI 48235
Phone (313) 966-2024
6071 W Outer Dr
Ste 2
Detroit, MI 48235
Phone (313) 966-3300
2751 E Jefferson Ave
Ste 100
Detroit, MI 48207
Phone (888) 362-7792
261 Mack Ave
Ste 555
Detroit, MI 48201
Phone (313) 745-9763
4201 Saint Antoine St
Ste 2P
Detroit, MI 48201
3990 John R St
#Z
Detroit, MI 48201
4201 Saint Antoine St
Ste 5V
Detroit, MI 48201
Phone (313) 741-5138
2751 E Jefferson Ave
Ste 700
Detroit, MI 48207
Phone (888) 362-7792
4201 Saint Antoine St
Ste 4A
Detroit, MI 48201
4201 Saint Antoine St
Ste 2V
Detroit, MI 48201
Phone (313) 745-3615
4160 John R St
Ste 616
Detroit, MI 48201
Phone (313) 745-5335
4160 John R St
Ste 908
Detroit, MI 48201
Phone (313) 745-7145
4201 Saint Antoine St
Ste 3E1
Detroit, MI 48201
Phone (313) 577-2752
3901 Chrysler Dr
Ste 3B
Detroit, MI 48201
Phone (313) 577-1396
2751 E Jefferson Ave
Ste 200
Detroit, MI 48207
Phone (888) 362-7792
Specialties & licenses 15
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | |||
| Allergy & Immunology Physician | 207K00000X | |||
| Anesthesiology Physician | 207L00000X | |||
| Dermatology Physician | 207N00000X | |||
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Clinical Genetics (M.D.) Physician | 207SG0201X | |||
| Neurological Surgery Physician | 207T00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Otolaryngology Physician | 207Y00000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | |||
| Pediatrics Physician | 208000000X |
Addresses
NPPES NPI RegistryPrimary practice location
400 Mack Ave Ste 2
Detroit, MI 48201-2136
Mailing address
400 Mack Ave Ste 2
Detroit, MI 48201-2136
Phone (313) 448-9006
Other practice location 1
4201 St. Antoine St.
Detroit, MI 48201
Phone (313) 745-4525
Other identifiers 17
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23D0685178 | Other | MI | CLIA COMPLIANCE DERM |
| 23D0913773 | Other | MI | CLIA - MICROSCOPY OBGYN |
| 23D1080033 | Other | MI | CLIA - MICROSCOPY FAM MED |
| 23D1086626 | Other | MI | CLIA - WAIVER OTO |
| 23D1091632 | Other | MI | CLIA WAIVER |
| 23D1096986 | Other | MI | CLIA MICROSCOPY |
| 23D0701622 | Other | MI | CLIA - PPM (MODERATE COMPLEXITY) |
| 23D1040688 | Other | MI | CLIA - MICROSCOPY UROLOGY |
| 23D2054540 | Other | MI | CLIA REGISTRATION (HIGH COMPLEXITY) |
| 0P30630 | Other | MI | MEDICARE GROUP # |
| 23D1019738 | Other | MI | CLIA - MICROSCOPY INT MED |
| 0P32120 | Other | MI | MEDICARE GROUP # - MD/DO FEE LOCALITY 99 |
| 23D0650703 | Other | MI | CLIA COMPLIANCE DERM |
| 0H22832 | Other | MI | BCBSM GROUP NUMBER |
| 23D0701623 | Other | MI | CLIA - MICROSCOPY INT MED |
| 23D1065430 | Other | MI | CLIA - WAIVER OTO |
| 23D2028433 | Other | MI | CLIA - MICROSCOPY FAM MED |
Other names 2
NPPES NPI Registry- Wayne Health
- Wayne State University Physician Group
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2026.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770681600000",
"number": "1447299797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MACK AVE STE 2",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012136",
"telephone_number": "313-448-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MACK AVE STE 2",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012136",
"telephone_number": "313-448-9006"
}
],
"practiceLocations": [
{
"address_1": "4201 St. Antoine St.",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "48201",
"country_code": "US",
"telephone_number": "313-745-4525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "UNIVERSITY PHYSICIAN GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-05",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A",
"authorized_official_last_name": "JUZYCH",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "877-929-6342",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Transplant Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207SG0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA COMPLIANCE DERM",
"identifier": "23D0685178",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA - MICROSCOPY OBGYN",
"identifier": "23D0913773",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA - MICROSCOPY FAM MED",
"identifier": "23D1080033",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA - WAIVER OTO",
"identifier": "23D1086626",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA WAIVER",
"identifier": "23D1091632",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA MICROSCOPY",
"identifier": "23D1096986",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA - PPM (MODERATE COMPLEXITY)",
"identifier": "23D0701622",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA - MICROSCOPY UROLOGY",
"identifier": "23D1040688",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA REGISTRATION (HIGH COMPLEXITY)",
"identifier": "23D2054540",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "0P30630",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA - MICROSCOPY INT MED",
"identifier": "23D1019738",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP # - MD/DO FEE LOCALITY 99",
"identifier": "0P32120",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA COMPLIANCE DERM",
"identifier": "23D0650703",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GROUP NUMBER",
"identifier": "0H22832",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA - MICROSCOPY INT MED",
"identifier": "23D0701623",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA - WAIVER OTO",
"identifier": "23D1065430",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA - MICROSCOPY FAM MED",
"identifier": "23D2028433",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wayne Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wayne State University Physician Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.