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DETROIT AREA AGENCY ON AGING
NPI 1134725427
Internal Medicine in Detroit, MI

Active since December 10, 2020
1333 BREWERY PARK BLVD STE 200, DETROIT, MI 48207(313) 446-4444(313) 446-4451 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Detroit Area Agency On Aging NPPES

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

DETROIT AREA AGENCY ON AGING (NPI 1134725427) is a healthcare organization registered as an internal medicine in Detroit, Michigan and active in the NPI registry since December 2020. The organization lists Wanda Patrice Bowman, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1134725427
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDETROIT AREA AGENCY ON AGING
Location Address1333 BREWERY PARK BLVD STE 200Detroit, MI 48207-4544
Mailing Address1333 Brewery Park Blvd Ste 200Detroit, MI 48207-4544 · (313) 446-4444 · Fax (313) 446-4451
Phone(313) 446-4444
Fax(313) 446-4451
Organization SubpartNo
Authorized OfficialWanda Patrice BowmanDirector Of Finance · (313) 446-4444
Enumeration DateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
✔ NPI 1134725427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1333 BREWERY PARK BLVD STE 200, Detroit, MI 48207
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Detroit Area Agency On Aging is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Detroit Area Agency On Aging, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Anthony Clarke, M.D.
Internal Medicine
NPI 1811055858
7633 E JEFFERSON AVE SUITE 340
Detroit, MI 48214
(313) 822-9801
✔ PECOS✔ Accepts Medicare2.2 mi
Charlene Walton Windham
Nurse Practitioner
NPI 1518336080
17515 W 9 MILE RD 375
Southfield, MI 48075
(248) 559-0950
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Detroit Area Agency On Aging's NPI number?

The NPI number for Detroit Area Agency On Aging is 1134725427. It was assigned to this organization in the NPPES registry on December 10, 2020.

Where is Detroit Area Agency On Aging located?

Detroit Area Agency On Aging is located at 1333 Brewery Park Blvd Ste 200, Detroit, MI 48207. The listed phone number is (313) 446-4444.

What is Detroit Area Agency On Aging's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Detroit Area Agency On Aging enrolled in Medicare?

Yes. Detroit Area Agency On Aging is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Detroit Area Agency On Aging?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Detroit Area Agency On Aging, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Detroit Area Agency On Aging accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Detroit Area Agency On Aging as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Detroit Area Agency On Aging was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.