Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHRISTOPHER STOVALL
NPI 1053251306
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Christopher Stovall's NPI number?

The NPI number for Christopher Stovall is 1053251306. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Q: What is Christopher Stovall's specialty?

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

Active since March 30, 2026PECOS Enrolled

22101 MOROSS RD, DETROIT, MI 48236(313) 343-3400 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Christopher Stovall NPPES

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

CHRISTOPHER STOVALL (NPI 1053251306) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053251306

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCHRISTOPHER STOVALL

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address22101 Moross RdDetroit, MI 48236-2148

Phone(313) 343-3400

Sole ProprietorYes

Enumeration DateMarch 30, 2026

Last NPPES UpdateJuly 2, 2026

NPPES CertifiedJuly 2, 2026

✔ NPI 1053251306 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.

22101 MOROSS RD, Detroit, MI 48236

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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)

Christopher Stovall 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.

MARY DECAROLIS LMSW, ACSW

Social Worker (Clinical)