Organization Active NPI

Mark W Sawka MD PC

  • Family Medicine Physician
  • Woodhaven, MI
National Provider Identifier
1700061884
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MS054908 Issued in MI
Legal business name
MARK W SAWKA MD PC
Practice address
25000 Hall Rd Ste 1
Woodhaven, MI 48183-5112
Phone
(734) 675-1280
Fax
(734) 675-1678
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Mark Wayne SawkaNPI 1609873496
Title
Owner
Phone
(734) 675-1280

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 9

IdentifierTypeStateIssuer
C7583OtherMIM-CARE
0828138OtherMIBCN
080066594OtherMIMEDICARE RAILROAD
4554977OtherMIAETNA
0108281382OtherMIBLUE CROSS BLUE SHIELD
0H23901OtherMIBCBSM LEGACY
2391865003OtherMICIGNA
P120121OtherMICARE CHOICES
MS054908OtherMIST. LIC#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080523000392 MI Part B Supplier - Clinic/Group Practice 2567531049 Receives reassigned benefits from 2 practitioners
Practice locations: Trenton, MI; Woodhaven, MI; Wyandotte, MI

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
23D0368678Mark W Sawka MD25000 Hall Road Suite #1, Woodhaven, MI 48183Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

3851 West Rd
Ste 4
Trenton, MI 48183
Phone (734) 675-5100

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1700061884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 HALL RD 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 STE 1",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481835112",
            "telephone_number": "734-675-1280",
            "fax_number": "734-675-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W SAWKA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "SAWKA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-675-1280"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MS054908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "C7583",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "0828138",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080066594",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4554977",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0108281382",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM LEGACY",
            "identifier": "0H23901",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2391865003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "P120121",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST. LIC#",
            "identifier": "MS054908",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.