Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. EMMANUEL OLAOLUWA DANIEL MD
NPI 1093450645
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Emmanuel Daniel's NPI number?

The NPI number for Emmanuel Daniel is 1093450645. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Q: What is Emmanuel Daniel'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 Emmanuel Daniel was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 28, 2022PECOS Enrolled

4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201(313) 745-8040 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 26, 2022, Apr 28, 2022 (2 updates tracked since 2022).

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About Mr. Emmanuel Olaoluwa Daniel Md NPPES

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

MR. EMMANUEL OLAOLUWA DANIEL MD (NPI 1093450645) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093450645

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. EMMANUEL OLAOLUWA DANIELCredential: MD

Location Address4201 SAINT ANTOINE ST # 9CDetroit, MI 48201-2153

Mailing Address4201 Saint Antoine St # 9cDetroit, MI 48201-2153 · (734) 576-9266

Phone(313) 745-8040

Sole ProprietorNo

Enumeration DateApril 28, 2022

Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1093450645 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.

4201 SAINT ANTOINE ST # 9C, Detroit, MI 48201

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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)

Mr. Emmanuel Olaoluwa Daniel 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.

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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.

DR. STEPHANIE NICOLE STEVENS MD

Anesthesiology