DR. MICHAEL JR. DZIEWIT (D.P.M) – Foot & Ankle Surgery Podiatrist, NPI 1225569767

DR. MICHAEL JR. DZIEWIT (D.P.M) is a healthcare provider. based in Livonia, Michigan. specializing in PODIATRY. They hold the professional credentials D.P.M. They hold a License No. 5901400358 (MI). The NPI Number for DR. MICHAEL JR. DZIEWIT (D.P.M) is 1225569767

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL JR. DZIEWIT (D.P.M)
NPI
1225569767
Phone
(734) 655-4800
Address
36475 FIVE MILE RD
Enumeration Date
26 March 2017
Last Update Date
15 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5178828672
Graduation Year
2017 (9 years ago)
PAC ID
5991079675
Group Practice PAC ID
0648573311
Professional Enrollment ID
I20200713001740
Address ID
MI489114222LA3401XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

753 PODIATRY in MI

Provider Addresses for DR. MICHAEL JR. DZIEWIT (D.P.M)

  • 36475 FIVE MILE RD

    LIVONIA, MI 481541971

    Phone: (734) 655-4800

    Fax: (734) 655-2911

    Type: Mailing

  • 3390 E JOLLY RD

    LANSING, MI 489108547

    Phone: (517) 882-8673

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $2,298.

Total Amount is formed as General ($2,298) + Research ($0) + Ownership ($0) = $2,298.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Paragon 28, Inc. ($604).

Total Amount

$2,298

General + Research + Ownership

Payments

40

Total payment records

General Amount

$2,298

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-07-13

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
I20200713001740IPodiatryMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails612223$0
99213Established patient office or other outpatient visit, 20-29 minutes355170$0
99214Established patient office or other outpatient visit, 30-39 minutes11059$0
99203New patient office or other outpatient visit, 30-44 minutes8585$0
11042Removal of skin and tissue, 20.0 sq cm or less7721$0
View full utilization report →

Insurance plans in this area (ZIP 48154)

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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: 0648573311View full group profile
NameSpecialtyState
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI
Nurse PractitionerMI
P O D I A T R YMI

Reviews

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Frequently asked questions

How is DR. MICHAEL JR. DZIEWIT (D.P.M) identified in CMS data?
CMS-hosted NPPES data lists DR. MICHAEL JR. DZIEWIT (D.P.M) with NPI 1225569767.
Does the file indicate DR. MICHAEL JR. DZIEWIT (D.P.M) is practicing under active NPI?
Directory data currently reports DR. MICHAEL JR. DZIEWIT (D.P.M) as active.
What healthcare role does DR. MICHAEL JR. DZIEWIT (D.P.M) hold?
Scheduling teams often label DR. MICHAEL JR. DZIEWIT (D.P.M) under Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MICHAEL JR. DZIEWIT (D.P.M)?
DR. MICHAEL JR. DZIEWIT (D.P.M)'s geographic hint is Livonia, Michigan in our summary view.
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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