Individual provider Active NPI

Michal Dusza, MD

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1801462965
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4351047512 Issued in MI
Practice address
1575 Concentric Blvd
Saginaw, MI 48604-9311
Phone
(989) 746-7947
NPI assigned
May 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 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 4351047512 MI Primary

Addresses

Primary practice location

1575 Concentric Blvd
Saginaw, MI 48604-9311

Mailing address

1575 Concentric Blvd
Saginaw, MI 48604-9311
Phone (989) 746-7947

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240906001836 NJ Practitioner - Family PracticePractitioner - Internal Medicine 3779982376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Marys General Medical Group PCGroup PAC ID 5496112476, 73 clinicians

Practice addresses (Care Compare)

358 Valley Brook Ave
Apt 1
Lyndhurst, NJ 07071-1836
Phone (201) 460-0142

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys General Medical Group PC Family Medicine CurrentSince Jul 21, 2024 Accepting new patients
Clifton-Wallington Medical Group Past Accepting new patients

Locations

1033 Clifton Ave
Clifton, NJ 07013
Phone (973) 473-5700

1033 Clifton Ave
Ste 210
Clifton, NJ 07013
Phone (973) 473-4400

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

60 Main Ave
Wallington, NJ 07057
Phone (973) 471-3555

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.

NPI Registry JSON

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1801462965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 CONCENTRIC BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049311",
            "telephone_number": "989-746-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 CONCENTRIC BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049311",
            "telephone_number": "989-746-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSZA",
        "first_name": "MICHAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351047512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.