Active NPI
Urszula A. Studzinski, M.D.
- Internal Medicine Physician
- Dearborn, MI
National Provider Identifier
1558424259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301062467
- Practice address
- 19855 West Outer Dr.
Garrison Place East, Suite L-7
Dearborn, MI 48124-2022 - Phone
- (313) 277-4929
- Fax
- (313) 561-1842
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301062467 | MI | Primary |
Addresses
Primary practice location
19855 West Outer Dr.
Garrison Place East, Suite L-7
Dearborn, MI 48124-2022
Mailing address
PO Box 250704
6725 Daly Rd
West Bloomfield, MI 48325-0704
Phone (248) 788-7706
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108247142 | Other | MI | FEDERAL BLUE CROSS BLUE SHIELD |
| G37725 | Other | MI | PRIORITY HEALTH |
| G37726 | Other | MI | PPOM |
| G37726 | Other | MI | HAP |
| P00197310 | Other | MI | RAILROAD MEDICARE |
| 3355617 | Medicaid | MI | |
| 1108247142 | Other | MI | BLUE CROSS BLUE SHIELD |
| 0824714 | Other | MI | BCBSM |
| 0P10000 | Other | MI | MEDICARE ID-TYPE UNSPECIFIED |
| 923-1 | Other | MI | TOTAL HEALTH CARE |
| 0P10000001 | Other | MI | MEDICARE |
| 1108247142 | Other | MI | BLUE CARE NETWORK OF MICHIGAN |
| 12052 | Other | MI | CAPE HEALTH PLAN |
| G37726 | Other | MI | SELECTCARE |
| 0P10000001 | Other | MI | MEDICARE BLUE CROSS |
| DR82155 | Other | MI | MCARE |
| 136372 | Other | MI | CARE CHOICES HMO |
| 136372 | Other | MI | CARE CHOICES HEALTH PLAN |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
19855 Outer Dr
Suite 203W
Dearborn, MI 48124-2140
Phone (313) 277-4929
Hospital & facility affiliations
- Beaumont Hospital - Dearborn
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Healthcare, Inc. | Past | Accepting new patients | |
| Urszula a. Studzinski, M.D, P.C. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1316182777
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1205903085
Single Specialty
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1558424259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250704",
"address_2": "6725 DALY RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483250704",
"telephone_number": "248-788-7706",
"fax_number": "248-788-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19855 WEST OUTER DR.",
"address_2": "GARRISON PLACE EAST, SUITE L-7",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242022",
"telephone_number": "313-277-4929",
"fax_number": "313-561-1842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUDZINSKI",
"first_name": "URSZULA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301062467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLUE CROSS BLUE SHIELD",
"identifier": "1108247142",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "G37725",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPOM",
"identifier": "G37726",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "G37726",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00197310",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3355617",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1108247142",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0824714",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIFIED",
"identifier": "0P10000",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOTAL HEALTH CARE",
"identifier": "923-1",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0P10000001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK OF MICHIGAN",
"identifier": "1108247142",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE HEALTH PLAN",
"identifier": "12052",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECTCARE",
"identifier": "G37726",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE BLUE CROSS",
"identifier": "0P10000001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "DR82155",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES HMO",
"identifier": "136372",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES HEALTH PLAN",
"identifier": "136372",
"state": "MI"
}
],
"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 Jun 17, 2011; 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.