Rose H Demczuk, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301058105 Issued in MI

Practice address

1460 Walton Blvd
Suite 202
Rochester Hills, MI 48309-1768

Phone

(248) 688-8057

Fax

(248) 601-9991

NPI assigned

Dec 5, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Wayne State University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Macomb Family Services IncGroup PAC ID 5193700888, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Macomb Family Services, Inc.

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1831190701

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Rose Demczuk MD PLLC

  • Clinical Neuropsychologist
  • Bruce TWP, MI
  • NPI 1619284320
  Medicare reassignment NPD Authorized official
• Macomb Family Services, Inc

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1326599036

  Psychiatry

  NPD (past)
• Macomb Family Services, Inc

  • In Home Supportive Care Agency
  • Bruce TWP, MI
  • NPI 1992239511
  NPD (past)
• Oakland Macomb Cancer Specialists, PC

  • Hematology & Oncology Physician
  • Rochester Hills, MI
  • NPI 1396364329
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1639237522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7267 TAFT LANE",
            "city": "BRUCE TWP.",
            "state": "MI",
            "postal_code": "48065",
            "telephone_number": "586-531-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD",
            "address_2": "SUITE 202",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091768",
            "telephone_number": "248-688-8057",
            "fax_number": "248-601-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMCZUK",
        "first_name": "ROSE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301058105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POLICY #",
            "identifier": "0000013317",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Defining You LLC
• Marie Delewsky, D.P.M.
• Patricia Marie Delougherty, LMSW
• Janice M. Demaray, D.O.
• Fadi Demashkieh, MD
• Dentists of Rochester PC
• Brittany Derra, D.O.
• Adriell Desero, DC
• DFS Optical
• Sheela A Dharmani, MD

• Psychiatry Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.