Mark Dukaj, MD
Internal Medicine in Detroit, MI. Individual provider (NPI-1).
NPI number1285636639
StatusActive
Last updated in NPPESJun 14, 2016
Details
- NPI
- 1285636639
- Entity type
- Individual (NPI-1)
- Name
- Mark Dukaj
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2005
- Last updated
- Jun 14, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD055760 | MI | Yes |
Practice location
22201 Moross RdSte 150
Detroit, MI 48236-2169
Phone 313-886-8787 · Fax 313-886-4103
Mailing address
45640 Schoenherr RdSte 150
Shelby Township, MI 48315-6033
Phone 586-566-3092 · Fax 586-566-3093
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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