DR. ASHLEY NICHOLE DABABNEH DO
NPI 1003490574
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Ashley Dababneh's NPI number?

The NPI number for Ashley Dababneh is 1003490574. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Q: What is Ashley Dababneh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Dababneh was last updated on May 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 10, 2021PECOS Enrolled

3031 W GRAND BLVD STE 600, DETROIT, MI 48202(313) 346-5235 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Ashley Nichole Dababneh Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ASHLEY NICHOLE DABABNEH DO (NPI 1003490574) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Mclaren Oakland, and is a graduate of Michigan State University College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1003490574

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. ASHLEY NICHOLE DABABNEHCredential: DO

Location Address3031 W GRAND BLVD STE 600Detroit, MI 48202-3014

Mailing Address5840 Ormond RdWhite Lake, MI 48383-1046 · (248) 977-8372

Phone(313) 346-5235

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2020

Enumeration DateMay 10, 2021

NPPES CertifiedMay 10, 2021

✔ NPI 1003490574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3031 W GRAND BLVD STE 600, Detroit, MI 48202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ashley Nichole Dababneh Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688144868

PECOS Enrollment IDI20260528004144

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230207

Location50 N Perry StPontiac, MI 48342 · Oakland County

Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HOPE WILLIAMS

Student in an Organized Health Care Education/Training Program