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DWIGHT DAVID E. ENCINAS M.D.
NPI 1942378757
Family Medicine in Sterling Heights, MI

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
39393 VAN DYKE AVE STE 101, STERLING HEIGHTS, MI 48313(313) 403-8787 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2024, Oct 26, 2023 (2 updates tracked since 2023).

About Dwight David E. Encinas M.d. NPPES

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

DWIGHT DAVID E. ENCINAS M.D. (NPI 1942378757) is an individual family medicine provider in Sterling Heights, Michigan, licensed in Michigan (4301060797) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Southern Virginia Medical Center, and maintains a secondary practice location in Hamtramck.

NPPES Registry Identity

NPI1942378757
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDWIGHT DAVID E. ENCINASCredential: M.D.
Location Address39393 VAN DYKE AVE STE 101Sterling Heights, MI 48313-4636
Mailing Address39393 Van Dyke Ave Ste 101Sterling Heights, MI 48313-4636 · (313) 403-8787
Phone(313) 403-8787
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateDecember 1, 2006
Last NPPES UpdateSeptember 25, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1942378757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MI · 4301060797✔ Licensed in VA · 0101286372
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
39393 VAN DYKE AVE STE 101, Sterling Heights, MI 48313
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Secondary Practice Location 1

Location 1Henry Ford Health System, 9100 BrombachHamtramck, MI 48212 · Phone (313) 972-9000 · Fax (313) 972-9040

Other Identifiers 4

OtherDE060797Commercial-commercial Number
Other080H262390Blue Cross-blue Cross
OtherDE060797Champus-champus
Medicaid322346710MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dwight David E. Encinas M.d. 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.

PECOS PAC ID9436160140
PECOS Enrollment IDI20060509000884, I20251016002016
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Dwight David Encinas reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Visiting Wound Specialists & Primary Care PLLC
0.2 mi
Family Medicine
39880 VAN DYKE AVE STE 202
Sterling Heights, MI 48313
  • Reassigned Medicare billing, Michigan enrollment
  • 13 clinicians in this Medicare group
NPI 1760268940 (248) 376-9797
Visiting Caring Doctors Plc
13 mi
Family Medicine
18000 W 9 MILE RD STE 770
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1033717632 (248) 728-4907
Vip Home Physicians PLLC
14 mi
Internal Medicine
17425 MACK AVE
Detroit, MI 48224
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group
NPI 1689496820 (313) 499-8991
American Ambulatory Physicians PLLC
36 mi
Family Medicine
11554 HIGHLAND RD
Hartland, MI 48353
  • Reassigned Medicare billing, Michigan enrollment
  • 11 clinicians in this Medicare group
NPI 1891052726 (810) 394-1300
Bon Secours Medical Group Richmond Primary Care LLC
451 mi
Family Medicine
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 140 clinicians in this Medicare group
NPI 1861050635 (804) 627-5573
Norton County Hospital
884 mi
Primary Care
214 W MAIN ST
Logan, KS 67646
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1801892740 (Kansas)
  • 16 clinicians in this Medicare group
NPI 1659724524 (785) 877-3351
American Medical Center, LLC
Urgent Care
1244 NORTH MARINE CORPS DRIVE
Upper Tumon, GU 96913
  • Reassigned Medicare billing, Guam enrollment
  • 31 clinicians in this Medicare group
NPI 1457329849 (671) 647-8262

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 6

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
98 services54 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
80 services80 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services56 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
20 services14 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
18 services18 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bon Secours Southern Virginia Medical Center

Acute Care Hospitals · Emporia, VA
OwnershipProprietary
CMS Certification Number490097
Location727 North Main StreetEmporia, VA 23847 · Emporia City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48313 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
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers24 claims24 services$44.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. SATISH BABU NAGELLI PA-C
Physician Assistant
39393 VAN DYKE AVE STE 101
STERLING HEIGHTS, MI 48313
Macomb County (313) 403-8787
HALEY JO KLOSS NP
Nurse Practitioner (Acute Care)
39393 VAN DYKE AVE STE 101
STERLING HEIGHTS, MI 48313
Macomb County (313) 403-8787
TOTAL WELL BEING HEALTH AND LIFE COACH LIMITED LIABILITY COMPANY
Counselor (Professional)
39393 VAN DYKE AVE STE 101
STERLING HEIGHTS, MI 48313
Macomb County (586) 351-7361

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 Dwight David Encinas's NPI number?

The NPI number for Dwight David Encinas is 1942378757. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Dwight David Encinas located?

Dwight David Encinas practices at 39393 Van Dyke Ave Ste 101, Sterling Heights, MI 48313. The listed phone number is (313) 403-8787.

What is Dwight David Encinas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dwight David Encinas enrolled in Medicare?

Yes. Dwight David Encinas 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 Dwight David Encinas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dwight David Encinas reassigns Medicare benefits to 7 organizations: Visiting Wound Specialists & Primary Care PLLC (Sterling Heights, MI), Visiting Caring Doctors Plc (Southfield, MI), Vip Home Physicians PLLC (Detroit, MI), American Ambulatory Physicians PLLC (Hartland, MI), Bon Secours Medical Group Richmond Primary Care LLC (Richmond, VA) 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 Dwight David Encinas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dwight David Encinas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Kansas, Inc. and CareSource and 2 other insurers list Dwight David Encinas 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 Dwight David Encinas affiliated with any hospitals?

According to CMS data, Dwight David Encinas is affiliated with Bon Secours Southern Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Dwight David Encinas was last updated on September 25, 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.