SAMANTHA PAIGE PEROVSKI DO
NPI 1245933860
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Samantha Perovski's NPI number?

The NPI number for Samantha Perovski is 1245933860. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Q: What is Samantha Perovski's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Perovski was last updated on March 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2023PECOS Enrolled

22201 MOROSS RD STE 370, DETROIT, MI 48236(313) 343-4585(313) 343-7126 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samantha Paige Perovski Do NPPES

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

SAMANTHA PAIGE PEROVSKI DO (NPI 1245933860) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245933860

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAMANTHA PAIGE PEROVSKICredential: DO

Location Address22201 MOROSS RD STE 370Detroit, MI 48236-2176

Mailing Address22201 Moross Rd Ste 370Detroit, MI 48236-2176 · (313) 343-4585 · Fax (313) 343-7126

Phone(313) 343-4585

Fax(313) 343-7126

Sole ProprietorNo

Enumeration DateMarch 23, 2023

NPPES CertifiedMarch 23, 2023

✔ NPI 1245933860 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.

22201 MOROSS RD STE 370, Detroit, MI 48236

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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)

Samantha Paige Perovski 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 16

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

DR. SANJANA PANKAJ KULKARNI MD

Student in an Organized Health Care Education/Training Program