PATRICK DANNY ETTA MD
NPI 1083359103
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Patrick Danny Etta Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICK DANNY ETTA MD (NPI 1083359103) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2022. He 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)
Patrick Danny Etta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
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 Patrick Etta's NPI number?
The NPI number for Patrick Etta is 1083359103. It was assigned to this individual provider in the NPPES registry on May 3, 2022.
Where is Patrick Etta located?
Patrick Etta practices at 2799 W Grand Blvd # K9, Detroit, MI 48202. The listed phone number is (248) 756-0384.
What is Patrick Etta's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Patrick Etta enrolled in Medicare?
Yes. Patrick Etta is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Patrick Etta was last updated on May 3, 2022. 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.
# Patrick Danny Etta, MD · NPI 1083359103
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since May 3, 2022.
## Identity
- **NPI:** 1083359103 (Entity type: Individual)
- **Enumerated:** May 3, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2799 W GRAND BLVD # K9, Detroit, MI 48202-2689
- **Phone:** (248) 756-0384
## 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:** May 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1083359103) · Data from the CMS NPPES public registry.