KHADIJAH JANNAH
NPI 1043155336
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Khadijah Jannah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHADIJAH JANNAH (NPI 1043155336) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Khadijah Jannah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Khadijah Jannah's NPI number?
The NPI number for Khadijah Jannah is 1043155336. It was assigned to this individual provider in the NPPES registry on April 22, 2026.
Where is Khadijah Jannah located?
Khadijah Jannah practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-1601.
What is Khadijah Jannah's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Khadijah Jannah enrolled in Medicare?
Yes. Khadijah Jannah is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Khadijah Jannah was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Khadijah Jannah · NPI 1043155336
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since April 22, 2026.
## Identity
- **NPI:** 1043155336 (Entity type: Individual)
- **Enumerated:** April 22, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2799 W GRAND BLVD, Detroit, MI 48202-2608
- **Phone:** (313) 916-1601
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043155336) · Data from the CMS NPPES public registry.