ADAM ROBERT DZIEDZIC P.A.-C
NPI 1104935899
Physician Assistant in Great Lakes, IL

Q: What is Adam Dziedzic's NPI number?

The NPI number for Adam Dziedzic is 1104935899. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Adam Dziedzic's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Dziedzic was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 29, 2006

3410 ILLINOIS ST, GREAT LAKES, IL 60088(224) 610-8553 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Adam Robert Dziedzic P.a.-c NPPES

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

ADAM ROBERT DZIEDZIC P.A.-C (NPI 1104935899) is an individual physician assistant in Great Lakes, Illinois, licensed in Illinois (085004025) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1104935899

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameADAM ROBERT DZIEDZICCredential: P.A.-C

Location Address3410 ILLINOIS STGreat Lakes, IL 60088-3120

Mailing Address3410 Illinois StGreat Lakes, IL 60088-3120 · (224) 610-8553

Phone(224) 610-8553

Sole ProprietorNo

Enumeration DateAugust 29, 2006

Last NPPES UpdateMarch 12, 2024

NPPES CertifiedMarch 12, 2024

✔ NPI 1104935899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085004025

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3410 ILLINOIS ST, Great Lakes, IL 60088

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Other Identifiers 1

Other085004025IL · State Of Illinois

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%231 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

EVAN FUCHS

General Practice