Kenneth Dziuba MD PC
Kenneth Dziuba MD PC is a healthcare organization registered as Internal Medicine Physician in Eastpointe, MI, holding Type 2 (organization) NPI 1891955597 since 2008. The authorized official on file is Kenneth Dziuba, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1891955597 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kenneth Dziuba MD PC |
| Practice address | 21331 KELLY RD, Eastpointe, MI, 48021 |
| Phone | 5867737780 |
| Fax | 5867749656 |
| Enumeration date | 2008-06-16 |
| Last updated in NPPES | 2009-03-10 |
Authorized official
| Name | Kenneth Dziuba |
|---|---|
| Title | President |
| Phone | 5867737780 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | 43010039122 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4157965 | Medicaid | MI | — |
Copy-ready billing details
Provider: Kenneth Dziuba MD PC NPI: 1891955597 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 21331 KELLY RD, Eastpointe, MI, 48021
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528985033 | Tammy Tocco | Individual | Peer Specialist | Eastpointe, MI |
| 1760483903 | Alphonse Ekole | Individual | Family Medicine Physician | Eastpointe, MI |
| 1396717344 | Christina Harris | Individual | General Practice Dentistry | Eastpointe, MI |
| 1083826473 | Hamad Hamad | Individual | Physical Therapist | Eastpointe, MI |
| 1205093275 | Primary Care Physicians II, P.C. | Organization | Specialist | Eastpointe, MI |
| 1659698884 | Administrative Specialists, LLC | Organization | Internal Medicine Physician | Eastpointe, MI |
| 1912224148 | Primary Care Physicians IV, P.C. | Organization | Internal Medicine Physician | Eastpointe, MI |
| 1740538446 | One on One Physical Rehabilitation LLC | Organization | Physical Therapy Clinic/Center | Eastpointe, MI |
Verify this record
Cross-check NPI 1891955597 against the authoritative CMS record: view Kenneth Dziuba MD PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-03-10.