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

Q: 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.

Q: What is Daravatey Pel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daravatey Pel was last updated on June 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 19, 2026.

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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

Phone(734) 671-3297

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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, I20260120000653

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 20

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

DR. MICHAEL DARGAY D.O.

Emergency Medicine

5450 FORT ST, EMERGENCY MEDICINE DEPARTMENT
TRENTON, MI 48183

Wayne County (734) 671-3883

DR. JOSEPH KLEBER M.D.

Emergency Medicine

5450 FORT ST, EMERGENCY MEDICINE DEPARTMENT
TRENTON, MI 48183

Wayne County (734) 671-3883

DR. HABIB SULTAN PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)