Active NPI
Dean Moscovic, DO
- Pediatrics Physician
- Clarkston, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5101014251
- Practice address
- 5701 Bow Pointe Drive
Suite 100
Clarkston, MI 48346-3199 - Phone
- (248) 625-2621
- Fax
- (248) 625-2622
- NPI assigned
- Jul 14, 2005
- Last updated
- Jun 2, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DM014251 | MI | |
| Pediatrics Physician | 208000000X | 5101014251 | MI | Primary |
Addresses
Primary practice location
5701 Bow Pointe Drive
Suite 100
Clarkston, MI 48346-3199
Mailing address
5701 Bow Pointe Drive
Suite 100
Clarkston, MI 48346-3199
Phone (248) 625-2621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4483344 | Medicaid | MI |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552
5701 Bow Pointe Dr
Suite 100
Clarkston, MI 48346-3199
Phone (248) 625-2621
Hospital & facility affiliations
- Trinity Health at Home- Southeast Michigan
- McLaren Oakland
- Trinity Health Oakland Hospital
- Beaumont Hospital Royal Oak
- McLaren Lapeer Region
- Beaumont Hospital, Troy
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DM014251 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Internal Medicine | Current | Accepting new patients |
| Clarkston Urgent Care PLC | Current | Accepting new patients | |
| McLaren Community Based Primary Care Group | Internal Medicine | Current | Accepting new patients |
| McLaren Community Based Primary Care Group | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients |
Locations
5625 Water Tower Pl
Ste 200
Clarkston, MI 48346
Phone (248) 625-2621
5625 Water Tower Pl
Ste 300
Clarkston, MI 48346
Phone (248) 625-2621
5701 Bow Pointe Dr
Ste 1
Clarkston, MI 48346
Phone (248) 625-2273
5701 Bow Pointe Dr
Ste 100
Clarkston, MI 48346
Phone (248) 625-2621
5701 Bow Pointe Dr
Ste 120
Clarkston, MI 48346
Phone (248) 625-2273
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
834 S Lapeer Rd
Ste 100
Oxford, MI 48371
Phone (248) 384-8320
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
Interoperability endpoints
- dean.moscovic.1@3928.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Physical Medicine & Rehabilitation Physician
- Flint, MI
- NPI 1750241816
Internal Medicine
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Urgent Care Clinic/Center
- Clarkston, MI
- NPI 1356518328
-
- Physical Therapist
- Clarkston, MI
- NPI 1770448920
-
dba Urology Specialist of Michigan
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba McLaren HealthCare Corporation
- General Acute Care Hospital
- Lapeer, MI
- NPI 1205824737
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
-
dba St Joseph Mercy Oakland
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
-
dba St. Joseph Mercy Home Care
- Home Health Agency
- Livonia, MI
- NPI 1508823774
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1952309718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 BOW POINTE DRIVE",
"address_2": "SUITE 100",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483463199",
"telephone_number": "248-625-2621",
"fax_number": "248-625-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 BOW POINTE DRIVE",
"address_2": "SUITE 100",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483463199",
"telephone_number": "248-625-2621",
"fax_number": "248-625-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSCOVIC",
"first_name": "DEAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "DM014251",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5101014251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4483344",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.