Active NPI
Pearl Dua, P.A.
- Physician Assistant
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601004694
- Practice address
- 35735 Mound Rd Ste 100
Sterling Heights, MI 48310-4728 - Phone
- (586) 261-1960
- Fax
- (586) 261-1961
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601004694 | MI | |
| Physician Assistant | 363A00000X | 5601004694 | MI | Primary |
Addresses
Primary practice location
35735 Mound Rd Ste 100
Sterling Heights, MI 48310-4728
Mailing address
35735 Mound Rd Ste 100
Sterling Heights, MI 48310-4728
Phone (586) 261-1960
Other practice location 1
36622 Five Mile Rd Ste 101
Livonia, MI 48154-1900
Phone (734) 542-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601004694 | Other | MI | LICENSE NUMBER |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
35735 Mound Rd
Sterling Heights, MI 48310-4728
36622 5 Mile Rd
Livonia, MI 48154-1900
Phone (734) 542-0200
600 Fort St
Suite 100
Port Huron, MI 48060-3942
Phone (810) 987-9871
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendelson Orthopedics PC | Current | Accepting new patients | |
| Mendelson Orthopedics PC | Current | Accepting new patients | |
| Ascension Medical Group Michigan | Past | Accepting new patients |
Locations
7684 Solutions Ctr
#777684
Chicago, IL 60677
36622 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 526-1791
36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200
14555 Levan Rd
Ste 215
Livonia, MI 48154
Phone (734) 542-0200
600 Fort St
Ste 100
Port Huron, MI 48060
Phone (810) 987-9711
35735 Mound Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 261-1960
5107 Rochester Rd
Troy, MI 48085
Phone (248) 723-2477
27472 Schoenherr Rd
Ste 140
Warren, MI 48088
Phone (586) 439-6242
11900 E 12 Mile Rd
Ste 110
Warren, MI 48093
Phone (586) 261-1960
Interoperability endpoints
- pdua1125647@direct.hfhs.org
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Sterling Heights, MI
- NPI 1720395205
-
- Interventional Pain Medicine Physician
- Warren, MI
- NPI 1700239415
-
- Orthopaedic Surgery Physician
- Livonia, MI
- NPI 1720153463
-
- Orthopaedic Surgery Physician
- Warren, MI
- NPI 1023041852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1902837677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35735 MOUND RD STE 100",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483104728",
"telephone_number": "586-261-1960",
"fax_number": "586-261-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35735 MOUND RD STE 100",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483104728",
"telephone_number": "586-261-1960",
"fax_number": "586-261-1961"
}
],
"practiceLocations": [
{
"address_1": "36622 Five Mile Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481541900",
"country_code": "US",
"telephone_number": "734-542-0200",
"fax_number": "734-542-0220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUA",
"first_name": "PEARL",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601004694",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "5601004694",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.