Organization Active NPI

University Physician Group

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1447299797
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, MDNPI 1053359125
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.

View all 1,049

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0701623Wayne Health - Detroit Mack Health Center400 Mack Avenue 2ND Floor, Detroit, MI 48201Provider-performed microscopyMay 16, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations (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)CodeLicenseStatePrimary
Transplant Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204F00000X
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Clinical Genetics (M.D.) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SG0201X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
23D0685178OtherMICLIA COMPLIANCE DERM
23D0913773OtherMICLIA - MICROSCOPY OBGYN
23D1080033OtherMICLIA - MICROSCOPY FAM MED
23D1086626OtherMICLIA - WAIVER OTO
23D1091632OtherMICLIA WAIVER
23D1096986OtherMICLIA MICROSCOPY
23D0701622OtherMICLIA - PPM (MODERATE COMPLEXITY)
23D1040688OtherMICLIA - MICROSCOPY UROLOGY
23D2054540OtherMICLIA REGISTRATION (HIGH COMPLEXITY)
0P30630OtherMIMEDICARE GROUP #
23D1019738OtherMICLIA - MICROSCOPY INT MED
0P32120OtherMIMEDICARE GROUP # - MD/DO FEE LOCALITY 99
23D0650703OtherMICLIA COMPLIANCE DERM
0H22832OtherMIBCBSM GROUP NUMBER
23D0701623OtherMICLIA - MICROSCOPY INT MED
23D1065430OtherMICLIA - WAIVER OTO
23D2028433OtherMICLIA - MICROSCOPY FAM MED

Other names 2

NPPES NPI Registry
  • Wayne Health Doing business as
  • Wayne State University Physician Group Doing business as

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.

Verify at the official NPI Registry.