VICTORIA TERESE DRZYZGA (MD) – Family Medicine Physician, NPI 1578142808

VICTORIA TERESE DRZYZGA (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301513891 (MI). The NPI Number for VICTORIA TERESE DRZYZGA (MD) is 1578142808

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
VICTORIA TERESE DRZYZGA (MD)
NPI
1578142808
Phone
Not provided
Address
100 MICHIGAN ST NE
Enumeration Date
5 April 2021
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
2021 (5 years ago)
PAC ID
6204236003
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20250619001520
Address ID
MI495084600KE4444XSEXX401

Contacts

FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
Secure Messaging
tdrzyzga3332961@epic00.corewelldirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness95
Years active:5State licenses:1Other names

4,418 FAMILY PRACTICE in MI

Provider Addresses for VICTORIA TERESE DRZYZGA (MD)

  • 100 MICHIGAN ST NE

    MC 845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 1534 KALAMAZOO AVE SE STE 130

    GRAND RAPIDS, MI 495072114

    Phone: (616) 267-4170

    Type: Location

  • 9662 GROSSE ILE PKWY

    GROSSE ILE, MI 481381674

    Phone: (734) 512-8388

    Type: Mailing

  • 714 N MICHIGAN ST

    SOUTH BEND, IN 466011035

    Phone: (574) 647-7477

    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: 2025-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240709003043IFamily PracticeINTBD
I20250619001520IFamily PracticeMITBD

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 49503)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for VICTORIA TERESE DRZYZGA (MD)?
VICTORIA TERESE DRZYZGA (MD) — NPI 1578142808 — is the standard way to identify this listing.
Can I rely on VICTORIA TERESE DRZYZGA (MD) being an active provider?
As of the registry snapshot, VICTORIA TERESE DRZYZGA (MD) is marked active.
What is VICTORIA TERESE DRZYZGA (MD)'s primary classification?
Family Medicine Physician is the headline specialty for VICTORIA TERESE DRZYZGA (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect VICTORIA TERESE DRZYZGA (MD) on a map?
Expect Grand Rapids, Michigan as a primary anchor for VICTORIA TERESE DRZYZGA (MD) unless the record lists multiple sites.
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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