Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Dimario

Individual provider Physician Assistant · NPI 1447110473

Samantha Dimario is a Physician Assistant in Wyandotte, Michigan. Qualified in 2025, 1 year ago. Practices with Consulting Urology Associates PLLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2025

Practice location Address checks out

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone: (734) 246-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2090 Jolly Rd Ste 150, Okemos, MI 48864-6036 — (517) 349-3900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601013585 (MI)

Record details

NPI number1447110473
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 12, 2025
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Consulting Urology Associates Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wyandotte