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MANJARI POPHALE M.D.
NPI 1356963540
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 11, 2020PECOS Enrolled
3901 BEAUBIEN BLVD, CHILDRENS HOSPITAL OF MICHIGAN, DETROIT, MI 48201(313) 745-1892 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 22, 2020, May 11, 2020 (2 updates tracked since 2020).

About Manjari Pophale M.d. NPPES

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

MANJARI POPHALE M.D. (NPI 1356963540) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356963540
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMANJARI POPHALECredential: M.D.
Location Address3901 BEAUBIEN BLVD, CHILDRENS HOSPITAL OF MICHIGANDetroit, MI 48201
Mailing Address4201 St Antoine Gme Office At Detroit Medical Center, Uhc 9cDetroit, MI 48201 · (313) 745-5146 · Fax (313) 966-0880
Phone(313) 745-1892
Sole ProprietorNo
Enumeration DateMay 11, 2020
Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
✔ NPI 1356963540 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.

3901 BEAUBIEN BLVD, 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)

Manjari Pophale 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.

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.

DR. MITCHEL TODD WILLIAMS M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
3901 BEAUBIEN BLVD, 3RD FLOOR NEUROLOGY DEPARTMENT
DETROIT, MI 48201
Wayne County (313) 745-5788
MR. DAVID JOHN ALLASIO LMSW
Social Worker (Clinical)
3901 BEAUBIEN BLVD, SOCIAL WORK OFFICE
DETROIT, MI 48201
Wayne County (313) 745-5281
DIANA MILAGROS TORPOCO RIVERA M.D.
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Wayne County (313) 745-1892
ELANA ACKERMAN M.D.
Pediatrics
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Wayne County (313) 745-5437
MR. PEZAD NOZER DOCTOR M.D.
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD, PEDIATRIC EDUCATION OFFICE 3T-72, 3RD FLOOR
DETROIT, MI 48201
Wayne County (313) 745-1892
ELIANE ALHALABI MD
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Wayne County (216) 778-9109
MS. LAVINA VIJAY DESAI M.D.
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD, DETROIT MEDICAL CENTER - CHILDRENS HOSPITAL OF MICHIGAN
DETROIT, MI 48201
Wayne County (313) 745-1892
MS. SHRUTHI SURYAPRAKASH M.D.
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Wayne County (313) 765-1892

Frequently Asked Questions

What is Manjari Pophale's NPI number?

The NPI number assigned to this healthcare provider is 1356963540, enumerated as an "individual" on May 11, 2020.

Where is the provider located?

The provider is located at 3901 BEAUBIEN BLVD CHILDRENS HOSPITAL OF MICHIGAN DETROIT, MI 48201 and the phone number is (313) 745-1892.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.