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THEBUOSHON AMALATHASAN M.D.
NPI 1316790447
Student in an Organized Health Care Education/Training Program in 15855 19 Mile Rd, Clinton Twp, Mi 48038,, MI

Active since April 09, 2024PECOS Enrolled
15855 19 MILE RD, CLINTON TWP, MI 48038, USA, 15855 19 MILE RD, CLINTON TWP, MI 48038,, MI 48038(586) 263-2300 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2024, Jul 10, 2024, Apr 9, 2024 (3 updates tracked since 2024).

About Thebuoshon Amalathasan M.d. NPPES

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

THEBUOSHON AMALATHASAN M.D. (NPI 1316790447) is an individual student in an organized health care education/training program in 15855 19 Mile Rd, Clinton Twp, Mi 48038,, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316790447
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHEBUOSHON AMALATHASANCredential: M.D.
Location Address15855 19 MILE RD, CLINTON TWP, MI 48038, USA15855 19 Mile Rd, Clinton Twp, Mi 48038,, MI 48038
Mailing Address15855 19 Mile Rd, Clinton Twp, Mi 48038, Usa15855 19 Mile Rd, Clinton Twp, Mi 48038,, MI 48038 · (586) 263-2300
Phone(586) 263-2300
Sole ProprietorYes
Enumeration DateApril 9, 2024
Last NPPES UpdateJuly 31, 20243 updates tracked since enumeration
✔ NPI 1316790447 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.
15855 19 MILE RD, CLINTON TWP, MI 48038, USA, 15855 19 Mile Rd, Clinton Twp, Mi 48038,, MI 48038
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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)

Thebuoshon Amalathasan M.d. 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.

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 Thebuoshon Amalathasan's NPI number?

The NPI number for Thebuoshon Amalathasan is 1316790447. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Thebuoshon Amalathasan located?

Thebuoshon Amalathasan practices at 15855 19 Mile Rd, Clinton Twp, Mi 48038, Usa, 15855 19 Mile Rd, Clinton Twp, Mi 48038,, MI 48038. The listed phone number is (586) 263-2300.

What is Thebuoshon Amalathasan's specialty?

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

Is Thebuoshon Amalathasan enrolled in Medicare?

Yes. Thebuoshon Amalathasan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thebuoshon Amalathasan was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.