EMANI MATTHEWS
NPI 1265996029
Student in an Organized Health Care Education/Training Program in West Bloomfield, MI

Active since January 25, 2019PECOS Enrolled
5777 W MAPLE RD STE 170, WEST BLOOMFIELD, MI 48322(248) 847-3288 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2025, Jan 25, 2019 (2 updates tracked since 2019).

About Emani Matthews NPPES

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

EMANI MATTHEWS (NPI 1265996029) is an individual student in an organized health care education/training program in West Bloomfield, Michigan and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265996029
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEMANI MATTHEWS
Location Address5777 W MAPLE RD STE 170West Bloomfield, MI 48322-4448
Mailing Address5777 W Maple Rd Ste 170West Bloomfield, MI 48322-4448 · (248) 847-3288
Sole ProprietorNo
Enumeration DateJanuary 25, 2019
Last NPPES UpdateApril 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
NPI 1265996029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedTechnician/TechnologistTaxonomy 156F00000X
5777 W MAPLE RD STE 170, West Bloomfield, MI 48322

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Emani Matthews 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.

Podiatrist
5777 W MAPLE RD STE 170
WEST BLOOMFIELD, MI 48322
Podiatrist
5777 W MAPLE RD STE 170
WEST BLOOMFIELD, MI 48322
Podiatrist (Foot & Ankle Surgery)
5777 W MAPLE RD STE 170
WEST BLOOMFIELD, MI 48322
Student in an Organized Health Care Education/Training Program
5777 W MAPLE RD STE 170
WEST BLOOMFIELD, MI 48322
Podiatrist
5777 W MAPLE RD STE 170
WEST BLOOMFIELD, MI 48322
Podiatrist (Foot & Ankle Surgery)
5777 W MAPLE RD STE 170
WEST BLOOMFIELD, MI 48322
Student in an Organized Health Care Education/Training Program
5777 W MAPLE RD STE 170
WEST BLOOMFIELD, MI 48322
Student in an Organized Health Care Education/Training Program
5777 W MAPLE RD STE 170
WEST BLOOMFIELD, MI 48322

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 Emani Matthews's NPI number?

The NPI number for Emani Matthews is 1265996029. It was assigned to this individual provider in the NPPES registry on January 25, 2019.

Where is Emani Matthews located?

Emani Matthews practices at 5777 W Maple Rd Ste 170, West Bloomfield, MI 48322. The listed phone number is (248) 847-3288.

What is Emani Matthews's specialty?

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

Is Emani Matthews enrolled in Medicare?

Yes. Emani Matthews is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emani Matthews was last updated on April 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.