DR. ANDREW I. DZUL M.D.
NPI 1295828358
Otolaryngology - Otolaryngic Allergy in Saint Clair Shores, MI

Active since October 02, 2006PECOS Enrolled
21000 E 12 MILE RD, SUITE 111, SAINT CLAIR SHORES, MI 48081(586) 779-7610 Get Directions Write a Review

NPPES record last updated: July 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrew I. Dzul M.d. NPPES

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

DR. ANDREW I. DZUL M.D. (NPI 1295828358) is an individual otolaryngic allergy provider in Saint Clair Shores, Michigan, licensed in Michigan (AD044645) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295828358
Entity TypeIndividualMale
Primary Taxonomy207YX0602X
Provider Legal NameDR. ANDREW I. DZULCredential: M.D.
Location Address21000 E 12 MILE RD, SUITE 111Saint Clair Shores, MI 48081-1116
Mailing Address21000 E 12 Mile Rd, Ste 111St Clair Shores, MI 48081 · (586) 779-7610 · Fax (586) 445-2523
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 9, 2012
NPI 1295828358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otolaryngic AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0602X
License Licensed in MI · AD044645
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
21000 E 12 MILE RD, Saint Clair Shores, MI 48081

Other Identifiers 13

Other2340163001Cigna
Medicare UPINA76344MI
Medicare ID-Type Unspecified0E06192005MI · Medicare Group
Other103904Great Lakes
OtherC4865Mcare
Other040000850Railroad Medicare
Other101664Care Choices
Other4033205Aetna
Medicare ID-Type Unspecified05001177041MI
Other0405001172MI · Blue Cross Blue Shield
Other040E061920MI · Blue Shield Group
Other0500117Blue Care Network
OtherA76344Health Alliance Plan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Andrew I. Dzul 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.

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.

Otolaryngology (Sleep Medicine)
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Otolaryngology
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Audiologist-Hearing Aid Fitter
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Otolaryngology (Plastic Surgery within the Head & Neck)
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD
ST CLAIR SHORES, MI 48081
Allergy & Immunology
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Nurse Anesthetist, Certified Registered
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081

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 Andrew Dzul's NPI number?

The NPI number for Andrew Dzul is 1295828358. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Andrew Dzul located?

Andrew Dzul practices at 21000 E 12 Mile Rd Suite 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7610.

What is Andrew Dzul's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngic Allergy, with taxonomy code 207YX0602X.

Is Andrew Dzul enrolled in Medicare?

Yes. Andrew Dzul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Dzul was last updated on July 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.