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: November 01, 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 and is a graduate of Marian University College Of Osteopathic Medicine (2021).

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
Sole ProprietorNo
Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2021
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.
20952 E 12 MILE RD STE 200, Saint Clair Shores, MI 48081

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gabriela Mazur Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446655013
PECOS Enrollment IDI20260709004198
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 Reassignment

Medicare enrollment records show Gabriela Mazur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urology
20952 12 MILE RD, SUITE 200
St Clair Shores, MI 48081
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Michigan Institute Of Urology PC
  • 86 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 8

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

Nurse Practitioner (Family)
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Clinical Medical Laboratory
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Pathology (Anatomic Pathology & Clinical Pathology)
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Physician Assistant
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Nurse Practitioner (Family)
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081

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.

Which organization bills Medicare for Gabriela Mazur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabriela Mazur reassigns Medicare benefits to Alliance Physician Services Of Michigan, P.C. (St Clair Shores, MI). The 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 Gabriela Mazur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gabriela Mazur accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Gabriela Mazur 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.

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 4 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.