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DR. ADAM RYAN MANDZIUK D.C.
NPI 1063559532
Chiropractor in Shelby Twp, MI

Active since January 31, 2007Accepts Medicare Assignment
53316 VAN DYKE AVE, SHELBY TWP, MI 48316(586) 781-0900(586) 781-8450 Get Directions Write a Review

NPPES record last updated: December 18, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Adam Ryan Mandziuk D.c. NPPES

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

DR. ADAM RYAN MANDZIUK D.C. (NPI 1063559532) is an individual chiropractor in Shelby Twp, Michigan, licensed in Michigan (2301009309) and active in the NPI registry since January 2007. He is a graduate of Life Chiropractic College - West (2006).

NPPES Registry Identity

NPI1063559532
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ADAM RYAN MANDZIUKCredential: D.C.
Location Address53316 VAN DYKE AVEShelby Twp, MI 48316-1821
Mailing Address147 Chamberlain AveRoscommon, MI 48653 · (404) 550-2032
Phone(586) 781-0900
Fax(586) 781-8450
Sole ProprietorYes
Medical School CMSLife Chiropractic College - WestGraduated 2006
Enumeration DateJanuary 31, 2007
Last NPPES UpdateDecember 18, 2008
✔ NPI 1063559532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301009309
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
53316 VAN DYKE AVE, Shelby Twp, MI 48316
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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. Adam Ryan Mandziuk D.c. 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 ID2365506599
PECOS Enrollment IDI20090202000563

Medicare Billing Reassignment

Medicare enrollment records show Adam Mandziuk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Star Chiropractic LLC
5.3 mi
Chiropractor
407 6TH ST STE B
Rochester, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
NPI 1730326885 (586) 207-1702

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

Other Providers at the Same Location NPPES 2

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

DR. MARK ANDREW BASSETT D.C.
Chiropractor
53316 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48316
Macomb County (586) 781-6955
DR. KRISTA A BASSETT D.C.
Chiropractor
53316 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48316
Macomb County (586) 781-6955

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 Adam Mandziuk's NPI number?

The NPI number for Adam Mandziuk is 1063559532. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Adam Mandziuk located?

Adam Mandziuk practices at 53316 Van Dyke Ave, Shelby Twp, MI 48316. The listed phone number is (586) 781-0900.

What is Adam Mandziuk's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Adam Mandziuk enrolled in Medicare?

Yes. Adam Mandziuk 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 organization bills Medicare for Adam Mandziuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Mandziuk reassigns Medicare benefits to Star Chiropractic LLC (Rochester, MI). The 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 Adam Mandziuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Mandziuk accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Adam Mandziuk 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 Adam Mandziuk was last updated on December 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.