MIGUEL DEJUK, PC
NPI 1457634263
Internal Medicine - Endocrinology, Diabetes & Metabolism in Palatka, FL
About Miguel Dejuk, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIGUEL DEJUK, PC (NPI 1457634263) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Palatka, Florida and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Miguel Gazel Dejuk, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miguel Dejuk, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Miguel Dejuk, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0929427
Miguel G Dejuk MD · Palatka, FLFrequently 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 Miguel Dejuk, PC's NPI number?
The NPI number for Miguel Dejuk, PC is 1457634263. It was assigned to this organization in the NPPES registry on September 28, 2011.
Where is Miguel Dejuk, PC located?
Miguel Dejuk, PC is located at 800 Zeagler Dr Ste 210, Palatka, FL 32177. The listed phone number is (386) 328-8668.
What is Miguel Dejuk, PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Miguel Dejuk, PC enrolled in Medicare?
Yes. Miguel Dejuk, PC is registered in the Medicare PECOS enrollment system.
When is Miguel Dejuk, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Miguel Dejuk, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Miguel Dejuk, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Miguel Dejuk, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0929427) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Miguel Dejuk, PC was last updated on March 2, 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.
# Miguel Dejuk, Pc · NPI 1457634263
Endocrinology, Diabetes & Metabolism organization in Palatka, Florida. Organization record, active in the CMS NPPES registry since September 28, 2011.
## Identity
- **NPI:** 1457634263 (Entity type: Organization)
- **Enumerated:** September 28, 2011
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Organization subpart:** No
- **Authorized official:** Miguel Dejuk, OWNER
## Practice location
- **Address:** 800 ZEAGLER DR STE 210, Palatka, FL 32177-3827
- **Phone:** (386) 328-8668 · **Fax:** (386) 328-3767
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457634263) · Data from the CMS NPPES public registry.