MARK ROBERT KURZAWA MD NPI 1265482095

NPI Information

  • NPI: 1265482095
  • Provider Name: MARK ROBERT KURZAWA, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 36367 HARPER AVE
    CLINTON TWP, MI
    ZIP 48035
  • Phone: (586) 791-6868

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NPI Details

Mark Robert Kurzawa, MD is a family medicine in Clinton Twp, MI with 43 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mark Robert Kurzawa, MD NPI is 1265482095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

36367 HARPER AVE
CLINTON TWP, MI
ZIP 48035-958
Phone: (586) 791-6868
Fax: (586) 791-5071

The NPI 1265482095 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)

The enumeration date for this NPI number is 5/11/2006 and was last updated on 1/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric Medicine4301048125MICHIGANNo
2207Q00000XFamily Medicine4301048125MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B44014MEDICARE UPINMICHIGAN
2N40170068MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE
34991915MEDICAIDMICHIGAN
44813978MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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