NPIMap

Organization Active NPI

University Physician Group

Doing business as Wayne Health

  • 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
Doing business as
Wayne Health
Wayne State University Physician Group
Practice address
400 Mack Ave Ste 2
Detroit, MI 48201-2136
Phone
(313) 448-9006
NPI assigned
Jun 5, 2006
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

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.

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
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

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

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

Other names 2

  • Wayne Health Doing business as
  • Wayne State University Physician Group Doing business as

Medicare participation

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

Enrollment records 2

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

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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

National Provider Directory

National Provider Directory

Locations (25 of 72)

16045 Collections Ctr Dr
Chicago, IL 60693

16606 Collection Ctr Dr
Chicago, IL 60693

31500 Telegraph Rd
Ste 215
Bingham Farms, MI 48025
Phone (248) 645-2740

43650 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 263-0820

1 William Carls Dr
Ste Icn
Commerce Township, MI 48382
Phone (248) 937-5053

1 William Carls Dr
Ste 220
Commerce Twp, MI 48382
Phone (248) 579-9220

18100 Oakwood Blvd
Ste 300
Dearborn, MI 48124
Phone (313) 240-4900

18101 Oakwood Blvd
Ste 101
Dearborn, MI 48124
Phone (313) 966-0444

18101 Oakwood Blvd
Ste 402
Dearborn, MI 48124
Phone (313) 253-0800

2841 Monroe St
Ste 1
Dearborn, MI 48124
Phone (313) 274-8900

4943 Schaeffer Rd
Dearborn, MI 48126

14230 W McNichols Rd
Detroit, MI 48235
Phone (313) 966-2100

18709 Meyers Rd
Detroit, MI 48235
Phone (313) 862-3000

22341 W 8 Mile Rd
Ste 201
Detroit, MI 48219
Phone (313) 592-3680

261 Mack Ave
Fl 7
Detroit, MI 48201
Phone (313) 386-2000

261 Mack Ave
Ste 555
Detroit, MI 48201
Phone (313) 745-9763

2751 E Jefferson Ave
Ste 100
Detroit, MI 48207
Phone (888) 362-7792

2751 E Jefferson Ave
Ste 500
Detroit, MI 48207
Phone (313) 396-0100

2751 E Jefferson Ave
Ste 700
Detroit, MI 48207
Phone (888) 362-7792

2761 E Jefferson Ave
Detroit, MI 48207
Phone (313) 993-3964

311 Mack Ave
Fl 6
Detroit, MI 48201
Phone (313) 832-0700

3901 Beaubien St
Fl 2
Detroit, MI 48201
Phone (313) 745-0659

3901 Chrysler Dr
Ste 3B
Detroit, MI 48201
Phone (313) 577-1396

3901 Chrysler Dr
Ste 420
Detroit, MI 48201

3990 John R St
#7
Detroit, MI 48201
Phone (313) 745-7555

Practitioners & affiliated clinicians

Practitioners 1,058

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,058

NPI Registry JSON

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

{
    "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": "",
            "desc": "Transplant Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "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 OBGYN",
            "identifier": "23D0913773",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA - MICROSCOPY INT MED",
            "identifier": "23D1019738",
            "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 FAM MED",
            "identifier": "23D2028433",
            "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 - MICROSCOPY UROLOGY",
            "identifier": "23D1040688",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "0H22832",
            "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 COMPLIANCE DERM",
            "identifier": "23D0650703",
            "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 FAM MED",
            "identifier": "23D1080033",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA COMPLIANCE DERM",
            "identifier": "23D0685178",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA MICROSCOPY",
            "identifier": "23D1096986",
            "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.