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SARAH E OTTUM
NPI 1275153835
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 23, 2020PECOS EnrolledAccepts Medicare Assignment
4201 ST. ANTOINE, UHC 9C, DETROIT, MI 48201(313) 745-5146 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sarah E Ottum NPPES

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

SARAH E OTTUM (NPI 1275153835) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2020).

NPPES Registry Identity

NPI1275153835
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSARAH E OTTUM
Location Address4201 ST. ANTOINE, UHC 9CDetroit, MI 48201
Mailing Address4201 Saint Antoine StDetroit, MI 48201-2153
Phone(313) 745-5146
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2020
Enumeration DateApril 23, 2020
NPPES CertifiedApril 23, 2020
✔ NPI 1275153835 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.

4201 ST. ANTOINE, 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 and accepts Medicare assignment

Sarah E Ottum 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 ID1456782937
PECOS Enrollment IDI20251117003743
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.

CONNOR J O'BOYLE MD
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, 5E-UHC
DETROIT, MI 48201
Wayne County (313) 577-0714
ELIZABETH ANN KUPSER
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC-9C DETROIT MEDICAL CENTER- GME OFFICE
DETROIT, MI 48201
Wayne County (313) 745-5147
AHMED AL KHALIFA M.D
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC-9C
DETROIT, MI 48201
Wayne County (313) 745-5533
JUAN SEBASTIAN RIVERA BECERRA M.D.
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC 9C
DETROIT, MI 48201
Wayne County (313) 745-6047
CHRISTINA CAON CNP
Nurse Practitioner (Adult Health)
4201 ST. ANTOINE, SUITE 8A
DETROIT, MI 48201
Wayne County (313) 745-4275
LISABETTE SUE LITTSEY NP
Nurse Practitioner (Adult Health)
4201 ST. ANTOINE, UHC
DETROIT, MI 48201
Wayne County (313) 745-2554
MUHAMMAD MEHRAIZ KHAN M.D.
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE
DETROIT, MI 48201
Wayne County (315) 577-5310
MR. WALID MOHAMED NAGEIB IBRAHIM M.D
Internal Medicine
4201 ST. ANTOINE, UHC-2E
DETROIT, MI 48201
Wayne County (313) 745-4832

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 Sarah Ottum's NPI number?

The NPI number for Sarah Ottum is 1275153835. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Sarah Ottum located?

Sarah Ottum practices at 4201 St. Antoine Uhc 9C, Detroit, MI 48201. The listed phone number is (313) 745-5146.

What is Sarah Ottum's specialty?

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

Is Sarah Ottum enrolled in Medicare?

Yes. Sarah Ottum 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.

When was this NPI record last updated?

The NPPES record for Sarah Ottum was last updated on April 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.