ANTZELA TSIAMOURA PA-C
NPI 1093317208
Physician Assistant - Medical in Detroit, MI

Active since November 12, 2020PECOS Enrolled
3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5437 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Antzela Tsiamoura Pa-c NPPES

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

ANTZELA TSIAMOURA PA-C (NPI 1093317208) is an individual medical provider in Detroit, Michigan and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1093317208
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANTZELA TSIAMOURACredential: PA-C
Location Address3901 BEAUBIEN STDetroit, MI 48201-2119
Mailing Address3901 Beaubien StDetroit, MI 48201-2196
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 12, 2020
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
NPI 1093317208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedBehavior TechnicianTaxonomy 106S00000X
3901 BEAUBIEN ST, Detroit, MI 48201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Antzela Tsiamoura Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618462094
PECOS Enrollment IDI20251223001895
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.

Pediatrics (Pediatric Emergency Medicine)
3901 BEAUBIEN ST
DETROIT, MI 48201
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Physician Assistant (Surgical)
3901 BEAUBIEN ST
DETROIT, MI 48201
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201

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 Antzela Tsiamoura's NPI number?

The NPI number for Antzela Tsiamoura is 1093317208. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Where is Antzela Tsiamoura located?

Antzela Tsiamoura practices at 3901 Beaubien St, Detroit, MI 48201. The listed phone number is (313) 745-5437.

What is Antzela Tsiamoura's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Antzela Tsiamoura enrolled in Medicare?

Yes. Antzela Tsiamoura is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antzela Tsiamoura was last updated on September 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.