ROSE DEMCZUK MD PLLC
NPI 1619284320
Clinical Neuropsychologist in Bruce Twp, MI
About Rose Demczuk Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROSE DEMCZUK MD PLLC (NPI 1619284320) is a healthcare organization registered as a clinical neuropsychologist in Bruce Twp, Michigan and active in the NPI registry since September 2010. The organization lists Rose Demczuk, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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)
Rose Demczuk Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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 Rose Demczuk MD PLLC, 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.
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 Rose Demczuk MD PLLC's NPI number?
The NPI number for Rose Demczuk MD PLLC is 1619284320. It was assigned to this organization in the NPPES registry on September 2, 2010.
Where is Rose Demczuk MD PLLC located?
Rose Demczuk MD PLLC is located at 7267 Taft Rd, Bruce Twp, MI 48065. The listed phone number is (248) 688-8057.
What is Rose Demczuk MD PLLC's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Rose Demczuk MD PLLC enrolled in Medicare?
Yes. Rose Demczuk MD PLLC is registered in the Medicare PECOS enrollment system.
When is Rose Demczuk MD PLLC'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 (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. 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 Rose Demczuk MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Rose Demczuk MD PLLC. 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.
What insurance does Rose Demczuk MD PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Rose Demczuk MD PLLC 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 Rose Demczuk MD PLLC was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Rose Demczuk Md Pllc · NPI 1619284320
Clinical Neuropsychologist organization in Bruce Twp, Michigan. Organization record, active in the CMS NPPES registry since September 2, 2010.
## Identity
- **NPI:** 1619284320 (Entity type: Organization)
- **Enumerated:** September 2, 2010
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **Organization subpart:** No
- **Authorized official:** Rose Demczuk, OWNER
## Practice location
- **Address:** 7267 TAFT RD, Bruce Twp, MI 48065-3619
- **Phone:** (248) 688-8057 · **Fax:** (248) 601-9991
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1619284320) · Data from the CMS NPPES public registry.