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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. THEODORE ARTHUR DIZIKES DO
NPI 1841858768
Plastic Surgery in Detroit, MI

Active since June 05, 2019PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2676 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 3, 2026, Jun 5, 2019 (2 updates tracked since 2019).

About Dr. Theodore Arthur Dizikes Do NPPES

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

DR. THEODORE ARTHUR DIZIKES DO (NPI 1841858768) is an individual plastic surgery provider in Detroit, Michigan, licensed in Michigan (5101029541) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Paterson.

NPPES Registry Identity

NPI1841858768
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. THEODORE ARTHUR DIZIKESCredential: DO
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing AddressPo Box 670884Detroit, MI 48267-0884 · (313) 874-4806
Phone(313) 916-2676
Sole ProprietorNo
Enumeration DateJune 5, 2019
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1841858768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MI · 5101029541
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2799 W GRAND BLVD, Detroit, MI 48202
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Secondary Practice Location 1

Location 1703 Main StPaterson, NJ 07503-2621 · Phone (717) 887-9163

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. Theodore Arthur Dizikes Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

HENRY FORD HOSPITAL
General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. BRENT DAVID GRIFFITH M.D.
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
KANIKA KHANNA M.D
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. FADL A CHOKR M.D.
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
AVI COHEN M.D.
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
LINDSEY AURORA
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
KYLE KRUPA
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
ALEXANDER GARBARINO
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600

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 Theodore Dizikes's NPI number?

The NPI number for Theodore Dizikes is 1841858768. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Theodore Dizikes located?

Theodore Dizikes practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2676.

What is Theodore Dizikes's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Theodore Dizikes enrolled in Medicare?

Yes. Theodore Dizikes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Dizikes was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.