Individual provider Active NPI

Pearl Dua, P.A.

  • Physician Assistant
  • Sterling Heights, MI
National Provider Identifier
1902837677
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004694 Issued in MI
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

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5601004694OtherMILICENSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060126000933 MI Practitioner - Physician Assistant 4486668621 Reassigns benefits to 1 organization

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
Mendelson Orthopedics PCGroup PAC ID 8426008368, 69 clinicians

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

OrganizationSpecialtyStatusNew patients
Mendelson Orthopedics PC CurrentSince Oct 1, 2010 Accepting new patients
Mendelson Orthopedics PC CurrentSince Oct 1, 2010 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.