MELANY JEAN WICZOREK MD
NPI 1639829666
Emergency Medicine in Detroit, MI

Q: What is Melany Wiczorek's NPI number?

The NPI number for Melany Wiczorek is 1639829666. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Q: What is Melany Wiczorek's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Melany Wiczorek was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since March 24, 2022PECOS EnrolledAccepts Medicare Assignment

22101 MOROSS RD, DETROIT, MI 48236(313) 343-4000 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Melany Jean Wiczorek Md NPPES

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

MELANY JEAN WICZOREK MD (NPI 1639829666) is an individual emergency medicine provider in Detroit, Michigan, licensed in Indiana (01096561A) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2022).

NPPES Registry Identity

NPI1639829666

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameMELANY JEAN WICZOREKCredential: MD

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address3212 Woodland AveRoyal Oak, MI 48073-2358 · (810) 300-7980

Phone(313) 343-4000

Sole ProprietorYes

Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2022

Enumeration DateMarch 24, 2022

Last NPPES UpdateJuly 8, 2025

NPPES CertifiedJuly 8, 2025

✔ NPI 1639829666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IN · 01096561A

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

22101 MOROSS RD, 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 and accepts Medicare assignment

Melany Jean Wiczorek Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961880653

PECOS Enrollment IDI20250722004232

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150017

Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Emergency services Birthing friendly

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

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

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.

MARY DECAROLIS LMSW, ACSW

Social Worker (Clinical)