GJON DUSHAJ MD
NPI 1669426847
Emergency Medicine in Troy, MI
About Gjon Dushaj Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GJON DUSHAJ MD (NPI 1669426847) is an individual emergency medicine provider in Troy, Michigan, licensed in Michigan (4301080499) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gjon Dushaj 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.
Medicare Billing Reassignments
7Medicare enrollment records show Gjon Dushaj reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 946 clinicians in this Medicare group
West Bloomfield, MI 48322
- Reassigned Medicare billing, Michigan enrollment
- 112 clinicians in this Medicare group
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Emergency Department Physicians PC
- 237 clinicians in this Medicare group
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Observation Emergency Physicians PC
- 158 clinicians in this Medicare group
Flushing, MI 48433
- Reassigned Medicare billing, Michigan enrollment
- 328 clinicians in this Medicare group
Lansing, MI 48910
- Reassigned Medicare billing, Michigan enrollment
- 295 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Emergency Professionals Of Indiana PC
- 404 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Healthcare
Acute Care Hospitals · Owosso, MIBeaumont Hospital, Troy
Acute Care Hospitals · Troy, MIHarbor Beach Community Hospital
Critical Access Hospitals · Harbor Beach, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
TROY, MI 48085
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 Gjon Dushaj's NPI number?
The NPI number for Gjon Dushaj is 1669426847. It was assigned to this individual provider in the NPPES registry on May 20, 2006.
Where is Gjon Dushaj located?
Gjon Dushaj practices at 44201 Dequindre Rd Ste Ec, Troy, MI 48085. The listed phone number is (248) 964-5111.
What is Gjon Dushaj's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Gjon Dushaj enrolled in Medicare?
Yes. Gjon Dushaj is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Gjon Dushaj's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gjon Dushaj reassigns Medicare benefits to 7 organizations: Beaumont Medical Group Hospital -Based Services (Royal Oak, MI), Wellstreet Urgent Care Of Michigan (West Bloomfield, MI), Emergency Department Physicians, P.C. (Detroit, MI), Observation Emergency Physicians, P.C. (Detroit, MI), Memorial Hospital (Flushing, MI) and 2 more organizations, listed in the Medicare section above. Each 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 Gjon Dushaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gjon Dushaj accept?
Health plans from Priority Health list Gjon Dushaj 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.
Is Gjon Dushaj affiliated with any hospitals?
According to CMS data, Gjon Dushaj is affiliated with Memorial Healthcare, Beaumont Hospital, Troy and Harbor Beach Community Hospital.
When was this NPI record last updated?
The NPPES record for Gjon Dushaj was last updated on October 1, 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.
# Gjon Dushaj, MD · NPI 1669426847
Emergency Medicine physician in Troy, Michigan. Individual provider, active in the CMS NPPES registry since May 20, 2006.
## Identity
- **NPI:** 1669426847 (Entity type: Individual)
- **Enumerated:** May 20, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 4301080499 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 44201 DEQUINDRE RD STE EC, Troy, MI 48085-1117
- **Phone:** (248) 964-5111 · **Fax:** (248) 964-5068
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Beaumont Medical Group Hospital -Based Services (NPI 1427567858, Royal Oak, MI); Wellstreet Urgent Care Of Michigan (NPI 1578048096, West Bloomfield, MI); Emergency Department Physicians, P.C. (NPI 1225083595, Detroit, MI); Observation Emergency Physicians, P.C. (NPI 1497920524, Detroit, MI); Memorial Hospital (NPI 1144428202, Flushing, MI); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** October 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669426847) · Data from the CMS NPPES public registry.