Individual provider Active NPI

Dwight David E. Encinas, M.D.

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1942378757
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301060797 Issued in MI
Practice address
39393 Van Dyke Ave Ste 101
Sterling Heights, MI 48313-4636
Phone
(313) 403-8787
NPI assigned
Dec 1, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301060797 MI Primary
Family Medicine Physician 207Q00000X 0101286372 VA

Addresses

Primary practice location

39393 Van Dyke Ave Ste 101
Sterling Heights, MI 48313-4636

Mailing address

39393 Van Dyke Ave Ste 101
Sterling Heights, MI 48313-4636
Phone (313) 403-8787

Other practice location 1

Henry Ford Health System
9100 Brombach
Hamtramck, MI 48212
Phone (313) 972-9000

Other identifiers 4

IdentifierTypeStateIssuer
322346710MedicaidMI
080H262390OtherBLUE CROSS-BLUE CROSS
DE060797OtherCHAMPUS-CHAMPUS
DE060797OtherCOMMERCIAL-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GU, VA, KS4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20060509000884 MI Practitioner - General PracticePractitioner - Family PracticePractitioner - Geriatric Medicine 9436160140 Reassigns benefits to 5 organizations
I20240610001736 GU Practitioner - Family Practice 9436160140 Reassigns benefits to 1 organization
I20251016002016 VA Practitioner - Family Practice 9436160140 Reassigns benefits to 1 organization
I20260407000879 KS Practitioner - Family Practice 9436160140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Richmond Primary Care LLCGroup PAC ID 3476986613, 91 clinicians

Practice addresses (Care Compare)

1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 443-5378

511 Belfield Dr
Emporia, VA 23847-1217
Phone (434) 348-4680

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101286372VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Ambulatory Physicians CurrentSince Dec 28, 2025 Accepting new patients
American Medical Center, LLC CurrentSince May 13, 2024 Accepting new patients
Vip Home Physicians PLLC Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Visiting Wound Specialists & Primary Care PLLC Family Medicine CurrentSince Oct 18, 2023 Accepting new patients
Bon Secours Medical Group Richmond Primary Care LLC Family Medicine CurrentSince Sep 10, 2025 Accepting new patients
Michigan Cardiovascular Institute, PC Past Accepting new patients
City of Detroit Past Accepting new patients
Sea-Mar Community Health Center Past Accepting new patients
Sea Mar Community Health Centers PastSince Jun 23, 2024 Accepting new patients
Care Management Solutions LLC PastSince Apr 1, 2019 Accepting new patients
Ve Care, Inc PastSince Apr 17, 2019 Accepting new patients
Sea-Mar Community Health Center Family Medicine Past Accepting new patients

Locations

1244 N Marine Corps Dr
Tamuning, GU 96913
Phone (671) 647-8262

1785 W Stadium Blvd
Ste 102
Ann Arbor, MI 48103
Phone (734) 926-0196

8685 W Grand River Ave
#B
Brighton, MI 48116
Phone (810) 225-0086

17425 Mack Ave
Detroit, MI 48224
Phone (313) 499-8991

11554 Highland Rd
Hartland, MI 48353
Phone (810) 632-0086

22316 Pontiac Trl
South Lyon, MI 48178
Phone (248) 437-0086

39393 Van Dyke Ave
Ste 101
Sterling Heights, MI 48313
Phone (313) 403-8787

39880 Van Dyke Ave
Ste 202
Sterling Hts, MI 48313
Phone (248) 376-9797

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Superior Care Hospice IncBrownstown, MI, CCN 231707 Hospice Contracted Managing Employee Mar 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1942378757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39393 VAN DYKE AVE STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134636",
            "telephone_number": "313-403-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39393 VAN DYKE AVE STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134636",
            "telephone_number": "313-403-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Henry Ford Health System",
            "address_2": "9100 Brombach",
            "address_purpose": "LOCATION",
            "city": "Hamtramck",
            "state": "MI",
            "postal_code": "48212",
            "country_code": "US",
            "telephone_number": "313-972-9000",
            "fax_number": "313-972-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENCINAS",
        "first_name": "DWIGHT DAVID",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301060797",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101286372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322346710",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "080H262390",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "DE060797",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "DE060797",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.