NPIMap

Individual provider Active NPI

Mark W Sawka, MD

  • Family Medicine Physician
  • Woodhaven, MI
National Provider Identifier
1609873496
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MS054908 Issued in MI
Practice address
25000 Hall Rd
Ste 1
Woodhaven, MI 48183-5112
Phone
(734) 675-1280
Fax
(734) 675-1678
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MS054908 MI Primary

Addresses

Primary practice location

25000 Hall Rd
Ste 1
Woodhaven, MI 48183-5112

Mailing address

25000 Hall Rd
Ste 1
Woodhaven, MI 48183-5112
Phone (734) 675-1280

Other identifiers 12

IdentifierTypeStateIssuer
0H23901OtherMIBC LEGACY NUMBER
C7583OtherM-CARE
4554977OtherAETNA
38-3246455OtherTAX ID#
MS054908OtherST. LIC#
P120121OtherCARE CHOICES
0828138OtherMEDICARE
0828138OtherMIBCN
F07916OtherUPIN
0108281382OtherBCBS
080066594OtherRAILROAD
2391865003OtherCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080523000384 MI Practitioner - Family Practice 4385713866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25000 Hall Rd
Suite 1
Woodhaven, MI 48183-5112
Phone (734) 675-1280

Hospital & facility affiliations

  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MS054908MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark W Sawka MD PC Family Medicine CurrentSince Apr 25, 2008 Accepting new patients

Locations

25000 Hall Rd
Ste 1
Woodhaven, MI 48183
Phone (734) 675-1280

Interoperability endpoints

  • Direct secure messaging: msawka60226@direct.hfhs.org

Organizations & group practices 1

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1609873496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 HALL RD",
            "address_2": "STE 1",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481835112",
            "telephone_number": "734-675-1280",
            "fax_number": "734-675-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 HALL RD",
            "address_2": "STE 1",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481835112",
            "telephone_number": "734-675-1280",
            "fax_number": "734-675-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWKA",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MS054908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC LEGACY NUMBER",
            "identifier": "0H23901",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "C7583",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4554977",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "38-3246455",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST. LIC#",
            "identifier": "MS054908",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "P120121",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0828138",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "0828138",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F07916",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0108281382",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "080066594",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2391865003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, MI

Sources for this page

Verify at the official NPI Registry.