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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.

GABRIELA MAZUR DO
NPI 1962085639
Urology in Saint Clair Shores, MI

Active since April 30, 2021PECOS Enrolled
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081(586) 771-4820 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gabriela Mazur Do NPPES

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

GABRIELA MAZUR DO (NPI 1962085639) is an individual urology provider in Saint Clair Shores, Michigan, licensed in Michigan (5101029237) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962085639
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameGABRIELA MAZURCredential: DO
Location Address20952 E 12 MILE RD STE 200Saint Clair Shores, MI 48081-3203
Mailing Address20952 E 12 Mile Rd Ste 200Saint Clair Shores, MI 48081-3203 · (586) 771-4820 · Fax (586) 771-6620
Phone(586) 771-4820
Sole ProprietorNo
Enumeration DateApril 30, 2021
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1962085639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MI · 5101029237
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20952 E 12 MILE RD STE 200, Saint Clair Shores, MI 48081
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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)

Gabriela Mazur 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 48081 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
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 9

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

CARRIE L ANDERSON
Nurse Practitioner (Family)
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
DR. ROBERT LEWIS ELGIN D.O.
Urology
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
MICHIGAN INSTITUTE OF UROLOGY LABORATORY
Clinical Medical Laboratory
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
JOHN C PANOS MD
Pathology (Anatomic Pathology & Clinical Pathology)
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
EMILY SUZANNE OSHNOCK PA-C
Physician Assistant
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
MAHDI BAZZI MD
Urology
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
DR. JACK TREBELHORN MD
Urology
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
JOHN VOLLMER PA-C
Physician Assistant
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820

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 Gabriela Mazur's NPI number?

The NPI number for Gabriela Mazur is 1962085639. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Gabriela Mazur located?

Gabriela Mazur practices at 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081. The listed phone number is (586) 771-4820.

What is Gabriela Mazur's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Gabriela Mazur enrolled in Medicare?

Yes. Gabriela Mazur is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gabriela Mazur was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 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.