DR. CURTIS MCKINLEY MACK MD
NPI 1053251074
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Curtis Mack's NPI number?

The NPI number for Curtis Mack is 1053251074. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Q: What is Curtis Mack'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 Curtis Mack was last updated on April 28, 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.

Active since March 30, 2026PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 28, 2026, Mar 30, 2026 (2 updates tracked since 2026).

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About Dr. Curtis Mckinley Mack Md NPPES

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

DR. CURTIS MCKINLEY MACK MD (NPI 1053251074) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351056339) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053251074

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. CURTIS MCKINLEY MACKCredential: MD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address2799 W Grand BlvdDetroit, MI 48202-2608

Phone(313) 916-2600

Sole ProprietorNo

Enumeration DateMarch 30, 2026

Last NPPES UpdateApril 28, 20262 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1053251074 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

License✔ Licensed in MI · 4351056339

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.

2799 W GRAND BLVD, 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. Curtis Mckinley Mack Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

HENRY FORD HOSPITAL

General Acute Care Hospital