DR. ZACHARY JOEL KITTRELL MD
NPI 1154118453
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 22, 2025PECOS Enrolled
3990 JOHN R ST STE 615, DETROIT, MI 48201(313) 745-4195 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Zachary Joel Kittrell Md NPPES

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

DR. ZACHARY JOEL KITTRELL MD (NPI 1154118453) 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

NPI1154118453
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ZACHARY JOEL KITTRELLCredential: MD
Location Address3990 JOHN R ST STE 615Detroit, MI 48201-2018
Mailing Address555 Brush St Apt 1006Detroit, MI 48226-4353 · (971) 645-3883
Sole ProprietorNo
Enumeration DateApril 22, 2025
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
NPI 1154118453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
3990 JOHN R ST STE 615, 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)

Dr. Zachary Joel Kittrell 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.

Other Providers at the Same Location NPPES 8

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

Student in an Organized Health Care Education/Training Program
3990 JOHN R ST STE 615
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST STE 615
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST STE 615
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST STE 615
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST STE 615
DETROIT, MI 48201
Surgery
3990 JOHN R ST STE 615
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST STE 615
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST STE 615
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 Zachary Kittrell's NPI number?

The NPI number for Zachary Kittrell is 1154118453. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Zachary Kittrell located?

Zachary Kittrell practices at 3990 John R St Ste 615, Detroit, MI 48201. The listed phone number is (313) 745-4195.

What is Zachary Kittrell's specialty?

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

Is Zachary Kittrell enrolled in Medicare?

Yes. Zachary Kittrell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zachary Kittrell was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.