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AIMAITI BOMALIYAMU DO
NPI 1225822133
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 07, 2025PECOS Enrolled
3990 JOHN R ST # 162, DETROIT, MI 48201(313) 745-7233(313) 993-3889 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aimaiti Bomaliyamu Do NPPES

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

AIMAITI BOMALIYAMU DO (NPI 1225822133) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225822133
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAIMAITI BOMALIYAMUCredential: DO
Location Address3990 JOHN R ST # 162Detroit, MI 48201-2018
Mailing Address3990 John R St # 162Detroit, MI 48201-2018 · (313) 745-7233 · Fax (313) 993-3889
Phone(313) 745-7233
Fax(313) 993-3889
Sole ProprietorNo
Enumeration DateApril 7, 2025
NPPES CertifiedApril 7, 2025
✔ NPI 1225822133 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.
3990 JOHN R ST # 162, 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)

Aimaiti Bomaliyamu Do 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 9

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

DR. KAMRAN IFTIKHAR DO
Anesthesiology
3990 JOHN R ST # 162
DETROIT, MI 48201
Wayne County (313) 745-7233
SWARNA SHIL
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST # 162
DETROIT, MI 48201
Wayne County (313) 745-7233
DR. FRASS AHMED MD
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST # 162
DETROIT, MI 48201
Wayne County (313) 745-7233
DR. JAMIE CHIN M.D.
Anesthesiology
3990 JOHN R ST # 162
DETROIT, MI 48201
Wayne County (313) 745-7233
DR. EUGENE VOVCHUK M.D.
Anesthesiology
3990 JOHN R ST # 162
DETROIT, MI 48201
Wayne County (313) 745-7233
KETAN CHOPRA M.D.
Anesthesiology
3990 JOHN R ST # 162
DETROIT, MI 48201
Wayne County (313) 745-7233
PAIGE BENARD
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST # 162
DETROIT, MI 48201
Wayne County (313) 745-7233
MARAM ATTIQ
Anesthesiology
3990 JOHN R ST # 162
DETROIT, MI 48201
Wayne County (313) 745-7233

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 Aimaiti Bomaliyamu's NPI number?

The NPI number for Aimaiti Bomaliyamu is 1225822133. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Aimaiti Bomaliyamu located?

Aimaiti Bomaliyamu practices at 3990 John R St # 162, Detroit, MI 48201. The listed phone number is (313) 745-7233.

What is Aimaiti Bomaliyamu's specialty?

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

Is Aimaiti Bomaliyamu enrolled in Medicare?

Yes. Aimaiti Bomaliyamu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Aimaiti Bomaliyamu 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 15 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.