DORJANA ISA (PA-C) – Physician Assistant, NPI 1760764609

DORJANA ISA (PA-C) is a healthcare provider. based in New hudson, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9108870 (FL). The NPI Number for DORJANA ISA (PA-C) is 1760764609

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DORJANA ISA (PA-C)
NPI
1760764609
Phone
(248) 437-4625
Address
30488 Milford Rd
Enumeration Date
16 September 2011
Last Update Date
31 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9049532000
Graduation Year
2011 (15 years ago)
PAC ID
3072755255
Group Practice PAC ID
5698689297
Professional Enrollment ID
I20170318000069
Address ID
FL322241865JA4500XSXXX500

Contacts

Secure Messaging
disa954071@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for DORJANA ISA (PA-C)

  • 30488 Milford Rd

    New Hudson, MI 481658583

    Phone: (248) 437-4625

    Type: Location

  • 4500 SAN PABLO RD S

    JACKSONVILLE, FL 322241865

    Phone: (904) 953-2000

    Type: Mailing

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: 2017-03-18

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
I20170318000069IPhysician AssistantFLTBD

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
31231Diagnostic exam of nasal passages using an endoscope335244$0
99213Established patient office or other outpatient visit, 20-29 minutes176126$0
99214Established patient office or other outpatient visit, 30-39 minutes115114$0
99204New patient office or other outpatient visit, 45-59 minutes6363$0
31575Diagnostic exam of voice box using a flexible endoscope3433$0
View full utilization report →

Insurance plans in this area (ZIP 48165)

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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: 5698689297View full group profile
NameSpecialtyState
Physician AssistantFL
G A S T R O E N T E R O L O G YFL
Orthopedic SurgeryFL
Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Physician AssistantFL
Nurse PractitionerFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

How do payers reference DORJANA ISA (PA-C)?
For DORJANA ISA (PA-C), use NPI 1760764609 as the unique 10-digit identifier.
Is there an active status for DORJANA ISA (PA-C)?
For scheduling context, DORJANA ISA (PA-C) is shown as active in the registry.
What expertise is attributed to DORJANA ISA (PA-C)?
DORJANA ISA (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DORJANA ISA (PA-C)?
Travel planning: use New Hudson, Michigan as the reference point for DORJANA ISA (PA-C), then confirm.
Can I trust this NPI listing for DORJANA ISA (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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