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IAN JOHN DETROYER MD
NPI 1356101679
Surgery in Detroit, MI

Active since March 21, 2024PECOS Enrolled
22151 MOROSS RD STE 214, DETROIT, MI 48236(313) 343-4867(313) 343-3280 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ian John Detroyer Md NPPES

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

IAN JOHN DETROYER MD (NPI 1356101679) is an individual surgery provider in Detroit, Michigan, licensed in Michigan (4351052334) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356101679
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameIAN JOHN DETROYERCredential: MD
Location Address22151 MOROSS RD STE 214Detroit, MI 48236-2151
Mailing Address22151 Moross Rd Ste 214Detroit, MI 48236-2151 · (313) 343-4867 · Fax (313) 343-3280
Phone(313) 343-4867
Fax(313) 343-3280
Sole ProprietorNo
Enumeration DateMarch 21, 2024
Last NPPES UpdateJune 29, 2024
NPPES CertifiedJune 29, 2024
✔ NPI 1356101679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4351052334
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
22151 MOROSS RD STE 214, Detroit, MI 48236
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian John Detroyer Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

NOUR HASSAN MD
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
KIRAN BOYINEPALLY
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
CHESTER BERNARD GAUSS IV MD
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
DR. MUHAMMAD SAAD HAFEEZ MBBS
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
DAVID JACOB CLAUSEN MD
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
ISABELLA GRAHAM MD
Surgery
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
ELENA MARIA BUSUITO
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
ANDREA GALWAA
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867

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 Ian Detroyer's NPI number?

The NPI number for Ian Detroyer is 1356101679. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Ian Detroyer located?

Ian Detroyer practices at 22151 Moross Rd Ste 214, Detroit, MI 48236. The listed phone number is (313) 343-4867.

What is Ian Detroyer's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ian Detroyer enrolled in Medicare?

Yes. Ian Detroyer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ian Detroyer was last updated on June 29, 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.