TAVIS A. DANCIK MD PLLC
NPI 1679394589
Internal Medicine - Nephrology in Royal Oak, MI

Active since October 23, 2024
30701 WOODWARD AVE, ROYAL OAK, MI 48073(248) 835-5163 Get Directions Write a Review

NPPES record last updated: July 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tavis A. Dancik Md Pllc NPPES

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

TAVIS A. DANCIK MD PLLC (NPI 1679394589) is a healthcare organization registered as a nephrology in Royal Oak, Michigan and active in the NPI registry since October 2024. The organization lists Tavis Andrew Dancik, Physcian, as its authorized official.

NPPES Registry Identity

NPI1679394589
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameTAVIS A. DANCIK MD PLLC
Location Address30701 WOODWARD AVERoyal Oak, MI 48073-0987
Mailing AddressPo Box 190Birmingham, MI 48012-0190 · (248) 835-5163
Organization SubpartNo
Authorized OfficialTavis Andrew DancikPhyscian · (248) 808-1228
Enumeration DateOctober 23, 2024
Last NPPES UpdateJuly 12, 2025
NPPES CertifiedJuly 12, 2025
✔ NPI 1679394589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
30701 WOODWARD AVE, Royal Oak, MI 48073

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tavis A. Dancik Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tavis A. Dancik MD PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nephrology
NPI 1396971263
30701 WOODWARD AVE STE 333
Royal Oak, MI 48073
(248) 847-2060
✔ PECOSSame address
Nurse Practitioner
NPI 1437568813
6236 THORNCREST DR
Bloomfield Hills, MI 48301
(248) 613-0468
✔ PECOS5.5 mi

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 Tavis A. Dancik MD PLLC's NPI number?

The NPI number for Tavis A. Dancik MD PLLC is 1679394589. It was assigned to this organization in the NPPES registry on October 23, 2024.

Where is Tavis A. Dancik MD PLLC located?

Tavis A. Dancik MD PLLC is located at 30701 Woodward Ave, Royal Oak, MI 48073. The listed phone number is (248) 835-5163.

What is Tavis A. Dancik MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Tavis A. Dancik MD PLLC enrolled in Medicare?

Yes. Tavis A. Dancik MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tavis A. Dancik MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Tavis A. Dancik MD PLLC, in Nephrology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tavis A. Dancik MD PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Tavis A. Dancik 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 Tavis A. Dancik MD PLLC was last updated on July 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.