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DR. DATCHA TRACY DORVIL DO
NPI 1043470065
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 337-4400 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Datcha Tracy Dorvil Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DATCHA TRACY DORVIL DO (NPI 1043470065) is an individual student in an organized health care education/training program in Kalamazoo, Michigan, licensed in Michigan (5101017761) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1043470065
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. DATCHA TRACY DORVILCredential: DO
Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282
Mailing Address1000 Oakland DrKalamazoo, MI 49008-1282 · (269) 337-4400
Phone(269) 337-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 12, 2008
✔ NPI 1043470065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 5101017761
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101017761 (MI)
Also ListedPediatricsTaxonomy 208000000X · License 5101017761 (MI)
1000 OAKLAND DR, Kalamazoo, MI 49008
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Datcha Tracy Dorvil Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486891561
PECOS Enrollment IDI20130509000043
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Datcha Dorvil reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dilkon Medical Center
1,410 mi
Public Health, Federal
1 MEDICAL CENTER DRIVE
Dilkon, AZ 86047
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Winslow Indian Health Care Center Inc
  • 219 clinicians in this Medicare group
NPI 1306016126 (928) 289-4646
Winslow Memorial Hospital Inc
1,440 mi
Critical Access
1501 WILLIAMSON AVE
Winslow, AZ 86047
  • Reassigned Medicare billing, Arizona enrollment
  • 69 clinicians in this Medicare group
NPI 1477653889 (928) 289-4691

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services34 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services25 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
15 services15 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW MATTINGLY MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
SAJA ABDELHADI
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
SARAH ANNE ECENBARGER WARREN MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
DR. MICHELLE TERESA WICIAK MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
MARTIN B DRAZNIN M.D.
Pediatrics (Pediatric Endocrinology)
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-6430
ABIGAIL MUNRO BOND DO
Emergency Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-6600
ALEX JOHN VANWOERKOM DO
Emergency Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
DR. KELLY ANN MING MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Datcha Dorvil's NPI number?

The NPI number for Datcha Dorvil is 1043470065. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Datcha Dorvil located?

Datcha Dorvil practices at 1000 Oakland Dr, Kalamazoo, MI 49008. The listed phone number is (269) 337-4400.

What is Datcha Dorvil's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Datcha Dorvil enrolled in Medicare?

Yes. Datcha Dorvil is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Datcha Dorvil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Datcha Dorvil reassigns Medicare benefits to 2 organizations: Dilkon Medical Center (Dilkon, AZ) and Winslow Memorial Hospital Inc (Winslow, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Datcha Dorvil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Datcha Dorvil accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Datcha Dorvil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Datcha Dorvil was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.