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CADE FOUNTAIN
NPI 1144014028
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 07, 2025PECOS Enrolled
4160 JOHN R ST STE 1017, DETROIT, MI 48201(313) 745-4123 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cade Fountain NPPES

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

CADE FOUNTAIN (NPI 1144014028) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144014028
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCADE FOUNTAIN
Location Address4160 JOHN R ST STE 1017Detroit, MI 48201-2017
Mailing Address4160 John R St Ste 1017Detroit, MI 48201-2017 · (313) 745-4123
Phone(313) 745-4123
Sole ProprietorNo
Enumeration DateApril 7, 2025
NPPES CertifiedApril 7, 2025
✔ NPI 1144014028 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.
4160 JOHN R ST STE 1017, 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)

Cade Fountain 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIEL EMMER DO
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Wayne County (313) 745-4123
REGINE BALDAUFF SANCHEZ
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Wayne County (313) 745-4123
ANDREW H LANGE MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Wayne County (313) 745-4123
TIMOTHY SMITH MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Wayne County (313) 745-4123
LOGAN RUBIN DO
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Wayne County (313) 745-4123
ANDREW SHANHOLTZER MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Wayne County (313) 745-4123
ALI BAYDOUN MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Wayne County (313) 745-4123

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 Cade Fountain's NPI number?

The NPI number for Cade Fountain is 1144014028. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Cade Fountain located?

Cade Fountain practices at 4160 John R St Ste 1017, Detroit, MI 48201. The listed phone number is (313) 745-4123.

What is Cade Fountain's specialty?

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

Is Cade Fountain enrolled in Medicare?

Yes. Cade Fountain is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cade Fountain was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.