LINDSEY KAITLYN DUROWOJU (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1174085799

LINDSEY KAITLYN DUROWOJU (MD) is a healthcare provider. based in Grand haven, Michigan. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 4301513886 (MI). The NPI Number for LINDSEY KAITLYN DUROWOJU (MD) is 1174085799

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LINDSEY KAITLYN DUROWOJU (MD)
NPI
1174085799
Phone
Not provided
Address
17855 DEWBERRY PL
Enumeration Date
2 April 2019
Last Update Date
8 August 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6166856258
Graduation Year
2019 (7 years ago)
PAC ID
9931434669
Group Practice PAC ID
5698677573
Professional Enrollment ID
I20250904000571
Address ID
MI495034502GR200XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

369 PATHOLOGY in WA

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Provider Addresses for LINDSEY KAITLYN DUROWOJU (MD)

  • 17855, Dewberry Place, Rosy Mound, Grand Haven Charter Township, Ottawa County, Michigan, 49417, United States

    GRAND HAVEN, MI 494178664

    Phone:

    Type: Mailing

  • University of Washington Medical Center - Montlake, 1959, Northeast Pacific Street, University District, Seattle, King County, Washington, 98195, United States

    SEATTLE, WA 981950001

    Phone: (206) 685-1624

    Type: Location

  • 5900 Byron Center Ave SW

    Wyoming, MI 495199606

    Phone: (616) 252-7166

    Type: Location

  • 2122 Health Dr SW

    Wyoming, MI 495199698

    Phone: (616) 252-7151

    Type: Location

  • PO BOX 9186

    LONGVIEW, TX 756089186

    Phone: (903) 663-4800

    Type: Mailing

  • 200 JEFFERSON AVE SE

    GRAND RAPIDS, MI 495034502

    Phone: (616) 685-6258

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250904000571IPathologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49417)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698677573View full group profile
NameSpecialtyState
P A T H O L O G YGA
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YMI

Reviews

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Frequently asked questions

How is LINDSEY KAITLYN DUROWOJU (MD) identified in CMS data?
CMS-hosted NPPES data lists LINDSEY KAITLYN DUROWOJU (MD) with NPI 1174085799.
Is LINDSEY KAITLYN DUROWOJU (MD) listed as active for patients and plans?
The listing shows LINDSEY KAITLYN DUROWOJU (MD) as active in the NPI system.
What is LINDSEY KAITLYN DUROWOJU (MD)'s primary classification?
Anatomic Pathology & Clinical Pathology Physician is the headline specialty for LINDSEY KAITLYN DUROWOJU (MD) here. Clinical services aligned with this taxonomy classification.
Where is LINDSEY KAITLYN DUROWOJU (MD) based?
LINDSEY KAITLYN DUROWOJU (MD) is tied to Grand Haven, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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