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DAVID BURKHOLDER
NPI 1013371194
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
4201 SAINT ANTOINE ST, 6G UHC, DETROIT, MI 48201(313) 993-2530(313) 993-7703 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Burkholder NPPES

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

DAVID BURKHOLDER (NPI 1013371194) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2016).

NPPES Registry Identity

NPI1013371194
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID BURKHOLDER
Location Address4201 SAINT ANTOINE ST, 6G UHCDetroit, MI 48201-2153
Mailing Address4201 Saint Antoine St, 6g UhcDetroit, MI 48201-2153 · (313) 993-2530 · Fax (313) 993-7703
Phone(313) 993-2530
Fax(313) 993-7703
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateDecember 17, 2021
✔ NPI 1013371194 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.
4201 SAINT ANTOINE ST, Detroit, MI 48201
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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 and accepts Medicare assignment

David Burkholder is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820381122
PECOS Enrollment IDI20220222000714
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.

DR. ZOHA NIZAMI
Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
DR. PUJA LAROIA DO
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
ELIZABETH ANNE RANELLA CRNA
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (952) 442-9770
GERARD LANCASTER MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
SARAH ZHANG
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Wayne County (313) 993-2529
DR. DANIEL RAY CAVAZOS MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
WAHAJUDDIN MOHAMMAD DO
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
DR. PATRICIA A WILKERSON-UDDYBACK M.D.
Emergency Medicine (Emergency Medical Services)
4201 SAINT ANTOINE ST, SUITE 3R
DETROIT, MI 48201
Wayne County (313) 745-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Burkholder's NPI number?

The NPI number for David Burkholder is 1013371194. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is David Burkholder located?

David Burkholder practices at 4201 Saint Antoine St 6G Uhc, Detroit, MI 48201. The listed phone number is (313) 993-2530.

What is David Burkholder's specialty?

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

Is David Burkholder enrolled in Medicare?

Yes. David Burkholder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Burkholder was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.