SARAH ANNE MATTAN PA
NPI 1003699265
Physician Assistant - Medical in West Bloomfield, MI

Q: What is Sarah Mattan's NPI number?

The NPI number for Sarah Mattan is 1003699265. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Q: What is Sarah Mattan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Mattan was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2023PECOS Enrolled

6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322(800) 653-6568 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2026, Aug 14, 2023 (2 updates tracked since 2023).

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About Sarah Anne Mattan Pa NPPES

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

SARAH ANNE MATTAN PA (NPI 1003699265) is an individual medical provider in West Bloomfield, Michigan, licensed in Michigan (5601012142) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003699265

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSARAH ANNE MATTANCredential: PA

Location Address6777 W MAPLE RDWest Bloomfield, MI 48322-3013

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806

Phone(800) 653-6568

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 14, 2023

Last NPPES UpdateApril 7, 20262 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1003699265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601012142

Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601012142 (MI)

6777 W MAPLE RD, West Bloomfield, MI 48322

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Secondary Practice Locations 3

Location 118621 E 9 Mile RdEastpointe, MI 48021-1953 · Phone (586) 944-0099

Location 21675 Leahy St Ste 315AMuskegon, MI 49442-5543 · Phone (248) 943-8061

Location 31022 N Telegraph RdDearborn, MI 48128-1622 · Phone (360) 031-3429

Other Identifiers 1

Medicaid1003699265MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Anne Mattan Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062987522

PECOS Enrollment IDI20260413000988

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.

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.

IRB MEDICAL EQUIPMENT LLC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

6777 W MAPLE RD, RM 60-01
WEST BLOOMFIELD, MI 48322

Oakland County (248) 862-7214

MELISSA ANNE BARACH AGCNS

Clinical Nurse Specialist