Active NPI
Dua Cieslak
- Physician Assistant
- Dearborn, MI
National Provider Identifier
1528746914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601011895
- Practice address
- 6942 Neckel St
Dearborn, MI 48126-1839 - Phone
- (313) 414-5031
- NPI assigned
- Jul 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601011895 | MI | Primary |
Addresses
Primary practice location
6942 Neckel St
Dearborn, MI 48126-1839
Mailing address
6942 Neckel St
Dearborn, MI 48126-1839
Phone (313) 414-5031
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Wayne State University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13530 Michigan Ave
Suite 110
Dearborn, MI 48126-3575
Phone (313) 572-0810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Medical Center Inc | Past | Accepting new patients |
Interoperability endpoints
- dcieslak799733@direct.hfhs.org
Organizations & group practices 2
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.
-
dba Specialty Regeneratives
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Dearborn, MI
- NPI 1285341537
-
- Urgent Care Clinic/Center
- Dearborn, MI
- NPI 1366126559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1528746914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6942 NECKEL ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261839",
"telephone_number": "313-414-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6942 NECKEL ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261839",
"telephone_number": "313-414-5031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIESLAK",
"first_name": "DUA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601011895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.