DORU LICA PA
NPI 1407037716
Physician Assistant in Troy, MI

Active since November 15, 2007PECOS Enrolled
4967 CROOKS RD, SUITE 130, TROY, MI 48098(248) 952-1601 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Doru Lica Pa NPPES

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

DORU LICA PA (NPI 1407037716) is an individual physician assistant in Troy, Michigan, licensed in Michigan (5601005163) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407037716
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDORU LICACredential: PA
Location Address4967 CROOKS RD, SUITE 130Troy, MI 48098-5801
Mailing Address641 Princess DrCanton, MI 48188-1143 · (734) 718-2878
Sole ProprietorNo
Enumeration DateNovember 15, 2007
Last NPPES UpdateDecember 3, 2013
NPI 1407037716 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 MI · 5601005163
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.

4967 CROOKS RD, Troy, MI 48098

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Doru Lica Pa 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 48098 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$13.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers26 claims26 services$69.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Hospitalist
4967 CROOKS RD, SUITE 130
TROY, MI 48098
Internal Medicine
4967 CROOKS RD, STE 130
TROY, MI 48098
Physician Assistant (Medical)
4967 CROOKS RD, SUITE 120
TROY, MI 48098
Nurse Practitioner (Family)
4967 CROOKS RD, SUITE 130
TROY, MI 48098
Internal Medicine
4967 CROOKS RD, STE. 130
TROY, MI 48098
Internal Medicine
4967 CROOKS RD, STE 130
TROY, MI 48098
Pediatrics
4967 CROOKS RD, STE 250
TROY, MI 48098
Internal Medicine
4967 CROOKS RD, STE. 130
TROY, MI 48098

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 Doru Lica's NPI number?

The NPI number for Doru Lica is 1407037716. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Where is Doru Lica located?

Doru Lica practices at 4967 Crooks Rd Suite 130, Troy, MI 48098. The listed phone number is (248) 952-1601.

What is Doru Lica's specialty?

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

Is Doru Lica enrolled in Medicare?

Yes. Doru Lica is registered in the Medicare PECOS enrollment system.

What insurance does Doru Lica accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Doru Lica 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 Doru Lica was last updated on December 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.