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JOSEPH DEDVUKAJ MD
NPI 1811562176
General Practice in Monroe, MI

Active since May 20, 2021PECOS Enrolled
718 N MACOMB ST, MONROE, MI 48162(734) 240-8400 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 29, 2021, May 20, 2021 (2 updates tracked since 2021).

About Joseph Dedvukaj Md NPPES

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

JOSEPH DEDVUKAJ MD (NPI 1811562176) is an individual general practice provider in Monroe, Michigan, licensed in Michigan (4351048366) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811562176
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOSEPH DEDVUKAJCredential: MD
Location Address718 N MACOMB STMonroe, MI 48162-7815
Mailing Address809 Beaconsfield Ave Apt 2nGrosse Pointe Park, MI 48230-1795
Phone(734) 240-8400
Sole ProprietorNo
Enumeration DateMay 20, 2021
Last NPPES UpdateJune 29, 20212 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
✔ NPI 1811562176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 4351048366
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
718 N MACOMB ST, Monroe, MI 48162
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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)

Joseph Dedvukaj Md 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 20

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

GIA-HAU NGUYEN D.O.
Emergency Medicine
718 N MACOMB ST
MONROE, MI 48162
Monroe County (734) 240-8400
ANISHINDER PARKASH MD
Student in an Organized Health Care Education/Training Program
718 N MACOMB ST
MONROE, MI 48162
Monroe County (248) 229-1450
KAITLIN ASSAAD
Pharmacist (Ambulatory Care)
718 N MACOMB ST
MONROE, MI 48162
Monroe County (419) 291-2010
EDWARD KRESYMAN DO
Family Medicine
718 N MACOMB ST
MONROE, MI 48162
Monroe County (734) 240-8927
MR. RONALD J KRAMER CRNA
Nurse Anesthetist, Certified Registered
718 N MACOMB ST
MONROE, MI 48162
Monroe County (734) 240-5254
DR. SARAH HAMZA MD
Emergency Medicine
718 N MACOMB ST
MONROE, MI 48162
Monroe County (734) 240-8400
DR. JEFFERY A TRAGER DO
Emergency Medicine
718 N MACOMB ST
MONROE, MI 48162
Monroe County (734) 240-4435
CHRISTOPHER JACOB POPE
Family Medicine
718 N MACOMB ST
MONROE, MI 48162
Monroe County (734) 240-8400

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 Joseph Dedvukaj's NPI number?

The NPI number for Joseph Dedvukaj is 1811562176. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Joseph Dedvukaj located?

Joseph Dedvukaj practices at 718 N Macomb St, Monroe, MI 48162. The listed phone number is (734) 240-8400.

What is Joseph Dedvukaj's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Joseph Dedvukaj enrolled in Medicare?

Yes. Joseph Dedvukaj is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Dedvukaj was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.