WAYNE STATE UNIVERSITY PHYSICIAN GROUP
NPI 1316987589
Physician Assistant in Detroit, MI

Active since June 07, 2006
4100 JOHN R ST, DETROIT, MI 48201(313) 745-4525 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 26, 2016, Feb 16, 2016 (2 updates tracked since 2016).

About Wayne State University Physician Group NPPES

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

WAYNE STATE UNIVERSITY PHYSICIAN GROUP (NPI 1316987589) is a healthcare organization registered as a physician assistant in Detroit, Michigan and active in the NPI registry since June 2006. The organization lists Jeffery P Kohlitz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1316987589
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameUNIVERSITY PHYSICIAN GROUP
Location Address4100 JOHN R STDetroit, MI 48201-2013
Mailing Address1560 E. Maple Rd., Suite 400-credentialing Dept.Troy, MI 48083-1138 · (248) 581-5973 · Fax (248) 581-5640
Organization SubpartNo
Authorized OfficialJeffery P KohlitzChief Financial Officer · (248) 581-5930
Enumeration DateJune 7, 2006
Last NPPES UpdateOctober 26, 20162 updates tracked since enumeration
✔ NPI 1316987589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
4100 JOHN R ST, Detroit, MI 48201

Other Names 1

Doing Business AsWayne State University Physician Group

Other Identifiers 3

Other0H24111MI · Bcbsm Group Number
Other0P32070MI · Medicare Group # - Pa
Medicare PIN0P32070MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wayne State University Physician Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

728

Medicare enrollment records show 728 clinicians reassign Medicare billing to Wayne State University Physician Group, which bills Medicare for the services they deliver. Of these, 433 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 53

Nurse Practitioner124
Internal Medicine90
Ophthalmology58
Neurology44
Psychiatry36
General Surgery34
Obstetrics/Gynecology33
Pathology29
45 other specialties280

Nearest to this location (20)

See all 728
Gastroenterology
NPI 1548618796
4160 JOHN R ST STE 615
Detroit, MI 48201
(313) 745-4195
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487037099
4160 JOHN R ST STE 615
Detroit, MI 48201
(313) 745-4195
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1124751763
3990 JOHN R ST
Detroit, MI 48201
(313) 745-8040
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1205277811
4160 JOHN R ST STE 615
Detroit, MI 48201
(313) 745-4195
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1225311665
4160 JOHN R ST STE 615
Detroit, MI 48201
(313) 745-4195
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1407894579
4160 JOHN R ST STE 615
Detroit, MI 48201
(313) 745-4195
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821841669
4646 JOHN R ST
Detroit, MI 48201
(313) 576-1000
✔ PECOSSame address
Interventional Cardiology
NPI 1770520264
3990 JOHN R ST
Detroit, MI 48201
(313) 745-8040
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1003135500
4100 JOHN R
Detroit, MI 48201
(800) 527-6266
✔ PECOS✔ Accepts Medicare0.1 mi
Pathology
NPI 1164626370
3990 JOHN R ST
Detroit, MI 48201
(313) 745-8555
✔ PECOS✔ Accepts Medicare0.1 mi
Plastic and Reconstructive Surgery
NPI 1164631024
4160 JOHN R ST SUITE 615
Detroit, MI 48201
(313) 745-4195
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1619181427
4160 JOHN R ST STE 804
Detroit, MI 48201
(313) 745-4525
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1851555866
4100 JOHN R ST
Detroit, MI 48201
(800) 527-6266
✔ PECOS✔ Accepts Medicare0.6 mi
Medical Oncology
NPI 1205088556
4100 JOHN R ST
Detroit, MI 48201
(800) 527-6266
✔ PECOS✔ Accepts Medicare0.6 mi
Neurosurgery
NPI 1821225145
4160 JOHN R ST STE 925
Detroit, MI 48201
(877) 486-7978
✔ PECOS✔ Accepts Medicare0.6 mi
Gastroenterology
NPI 1124127048
4646 JOHN R ST
Detroit, MI 48201
(313) 576-1000
✔ PECOS✔ Accepts Medicare0.6 mi
Dentist
NPI 1891222816
4100 JOHN R ST
Detroit, MI 48201
(313) 745-4095
✔ PECOS✔ Accepts Medicare0.6 mi
Hematology/Oncology
NPI 1851684393
4100 JOHN R ST
Detroit, MI 48201
(800) 527-6266
✔ PECOS✔ Accepts Medicare0.6 mi
General Surgery
NPI 1346781648
4160 JOHN R ST STE 615
Detroit, MI 48201
(313) 745-4195
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1629430509
4100 JOHN R ST
Detroit, MI 48201
(313) 576-8529
✔ PECOS✔ Accepts Medicare0.6 mi
See all 728 clinicians

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

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 University Physician Group's NPI number?

The NPI number for University Physician Group is 1316987589. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is doing business as Wayne State University Physician Group.

Where is University Physician Group located?

University Physician Group is located at 4100 John R St, Detroit, MI 48201. The listed phone number is (313) 745-4525.

What is University Physician Group's specialty?

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

Is University Physician Group enrolled in Medicare?

Yes. University Physician Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Physician Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 728 clinicians in 53 Medicare specialties reassign their Medicare billing to University Physician Group. A 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 the clinician's services. The largest specialties are Nurse Practitioner (124), Internal Medicine (90) and Ophthalmology (58). Of these, 433 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does University Physician Group accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list University Physician Group 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 University Physician Group was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.