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DR. MARK DULCHAVSKY MD PHD
NPI 1740020874
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 28, 2024PECOS Enrolled
4260 PLYMOUTH RD # LEVEL2, ANN ARBOR, MI 48109(734) 539-5080 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Dulchavsky Md Phd NPPES

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

DR. MARK DULCHAVSKY MD PHD (NPI 1740020874) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351052167) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740020874
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MARK DULCHAVSKYCredential: MD PHD
Location Address4260 PLYMOUTH RD # LEVEL2Ann Arbor, MI 48109-2700
Mailing Address1200 E Hospital Dr., D3230Ann Arbor, MI 48109 · (734) 647-1774
Phone(734) 539-5080
Sole ProprietorNo
Enumeration DateMay 28, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1740020874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351052167
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4260 PLYMOUTH RD # LEVEL2, Ann Arbor, MI 48109
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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 (PECOS)

Dr. Mark Dulchavsky Md Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK ADAM DURHAM MD, PHD
Student in an Organized Health Care Education/Training Program
4260 PLYMOUTH RD # LEVEL2
ANN ARBOR, MI 48109
Washtenaw County (734) 539-5080
DR. LAUREN ELISABETH KARNOLT MD
Student in an Organized Health Care Education/Training Program
4260 PLYMOUTH RD # LEVEL2
ANN ARBOR, MI 48109
Washtenaw County (734) 539-5080
MARYAM HERMEZ MD, MPH
Student in an Organized Health Care Education/Training Program
4260 PLYMOUTH RD # LEVEL2
ANN ARBOR, MI 48109
Washtenaw County (734) 539-5080

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 Mark Dulchavsky's NPI number?

The NPI number for Mark Dulchavsky is 1740020874. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Mark Dulchavsky located?

Mark Dulchavsky practices at 4260 Plymouth Rd # Level2, Ann Arbor, MI 48109. The listed phone number is (734) 539-5080.

What is Mark Dulchavsky's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mark Dulchavsky enrolled in Medicare?

Yes. Mark Dulchavsky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Dulchavsky was last updated on May 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.