DR. DARAVATEY DARAVUTH PEL DPM
NPI 1225769615
Podiatrist - Foot & Ankle Surgery in Trenton, MI

Active since June 17, 2022PECOS EnrolledAccepts Medicare Assignment
5450 FORT ST, TRENTON, MI 48183(734) 671-3297 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Daravatey Daravuth Pel Dpm NPPES

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

DR. DARAVATEY DARAVUTH PEL DPM (NPI 1225769615) is an individual foot & ankle surgery provider in Trenton, Michigan, licensed in Michigan (5951001467) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (2022).

NPPES Registry Identity

NPI1225769615
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. DARAVATEY DARAVUTH PELCredential: DPM
Location Address5450 FORT STTrenton, MI 48183-4601
Mailing Address165 N Roosevelt St Apt 103Canton, MI 48187-4893 · (843) 503-0458
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2022
Enumeration DateJune 17, 2022
NPPES CertifiedJune 17, 2022
✔ NPI 1225769615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MI · 5951001467
5450 FORT ST, Trenton, MI 48183

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daravatey Daravuth Pel Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587045216
PECOS Enrollment IDI20250620002352, I20260317004667
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Daravatey Pel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
601 ABBOTT RD
East Lansing, MI 48823
  • Reassigned Medicare billing, Michigan enrollment
  • 56 clinicians in this Medicare group
Social Worker
8425 WOODFIELD CROSSING BLVD STE 100
Indianapolis, IN 46240
  • Reassigned Medicare billing, Indiana enrollment
  • 101 clinicians in this Medicare group
Emergency Medicine
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, Ohio enrollment
  • 60 clinicians in this Medicare group
General Practice
267 BROADWAY FL 2
Brooklyn, NY 11211
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
Podiatrist
1280 HENLEY RD
Middleburg, FL 32068
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
Family Medicine
1201 NE 175TH ST
Miami, FL 33162
  • Reassigned Medicare billing, Ohio enrollment
  • 51 clinicians in this Medicare group

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

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.

Nurse Anesthetist, Certified Registered
5450 FORT ST
TRENTON, MI 48183
Nurse Anesthetist, Certified Registered
5450 FORT ST
TRENTON, MI 48183
Nurse Anesthetist, Certified Registered
5450 FORT ST
TRENTON, MI 48183
Emergency Medicine
5450 FORT ST
TRENTON, MI 48183
Nurse Anesthetist, Certified Registered
5450 FORT ST
TRENTON, MI 48183
Internal Medicine
5450 FORT ST
TRENTON, MI 48183
Emergency Medicine
5450 FORT ST
TRENTON, MI 48183
Pharmacist
5450 FORT ST
TRENTON, MI 48183

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 Daravatey Pel's NPI number?

The NPI number for Daravatey Pel is 1225769615. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Daravatey Pel located?

Daravatey Pel practices at 5450 Fort St, Trenton, MI 48183. The listed phone number is (734) 671-3297.

What is Daravatey Pel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Daravatey Pel enrolled in Medicare?

Yes. Daravatey Pel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Daravatey Pel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daravatey Pel reassigns Medicare benefits to 6 organizations: Onsight, Inc. (East Lansing, MI), Onhealthcare LLC (Indianapolis, IN), Ivy Medical Group PLLC (New York, NY), Pedirite Medical Oh LLC (Brooklyn, NY), Aria Podiatry Care PLLC (Middleburg, FL) and 1 more organization, listed in the Medicare section above. Each 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 Daravatey Pel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daravatey Pel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Daravatey Pel 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 Daravatey Pel was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.