DR. KEVIN DAZY M.D.
NPI 1174819627
Pediatrics in Detroit, MI

Q: What is Kevin Dazy's NPI number?

The NPI number for Kevin Dazy is 1174819627. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Q: What is Kevin Dazy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Dazy was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 June 23, 2011PECOS Enrolled

3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201(313) 745-9778(313) 993-0390 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Kevin Dazy M.d. NPPES

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

DR. KEVIN DAZY M.D. (NPI 1174819627) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (4301098509) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174819627

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. KEVIN DAZYCredential: M.D.

Location Address3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MIDetroit, MI 48201

Mailing Address4201 St. Antione Uhc 5d, University PediatriciansDetroit, MI 48201 · (313) 966-5051 · Fax (313) 966-0665

Phone(313) 745-9778

Fax(313) 993-0390

Sole ProprietorNo

Enumeration DateJune 23, 2011

Last NPPES UpdateNovember 3, 2014

✔ NPI 1174819627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301098509

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3901 BEAUBIEN, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Dazy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

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

University Pediatricians

Same address

Nurse Practitioner

3901 BEAUBIEN
Detroit, MI 48201

Reassigned Medicare billing, Michigan enrollment
360 clinicians in this Medicare group

NPI 1033143904 (313) 745-5214

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. ALISSA M MARTIN MD

Pediatrics (Pediatric Hematology-Oncology)

3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201

Wayne County (313) 745-5515

DR. KRISTEN P PETERS AU.D.

Audiologist

3901 BEAUBIEN
DETROIT, MI 48201

Wayne County (313) 745-8903

UNIVERSITY PEDIATRICIANS

Nurse Practitioner

3901 BEAUBIEN
DETROIT, MI 48201

Wayne County (313) 745-5214

CRISTY A. GUAGENTI CPNP

Nurse Practitioner (Pediatrics)

3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201

Wayne County (313) 745-5260

MERET HENRY M.D.

Pediatrics (Pediatric Hematology-Oncology)

3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201

Wayne County (313) 745-5515

DANIEL E CALHOUN MSW

Social Worker

3901 BEAUBIEN, UPC CHILDREN'S HOSPITAL/CRISIS CENTER
DETROIT, MI 48201

Wayne County (313) 966-7002

RONALD PHILLIP RUFFING M.D.

Emergency Medicine (Pediatric Emergency Medicine)

3901 BEAUBIEN, CHILREN'S HOSPITAL OF MI/ ER DEPT
DETROIT, MI 48201

Wayne County (313) 745-5260

JANET MARIA POULIK MD

Pathology (Anatomic Pathology & Clinical Pathology)

3901 BEAUBIEN, CHILDRENS HOSPITAL OF MI PATHOLOGY
DETROIT, MI 48201

Wayne County (313) 745-2553

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 Kevin Dazy's NPI number?

The NPI number for Kevin Dazy is 1174819627. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Kevin Dazy located?

Kevin Dazy practices at 3901 Beaubien Children's Hospital Of Mi, Detroit, MI 48201. The listed phone number is (313) 745-9778.

What is Kevin Dazy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kevin Dazy enrolled in Medicare?

Yes. Kevin Dazy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Dazy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Dazy reassigns Medicare benefits to University Pediatricians (Detroit, 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 Kevin Dazy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Dazy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Kevin Dazy 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 Kevin Dazy was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.