DHIAEDIN ATHIER KHIATI
NPI 1407749203
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Dhiaedin Khiati's NPI number?

The NPI number for Dhiaedin Khiati is 1407749203. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Q: What is Dhiaedin Khiati'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 Dhiaedin Khiati was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since May 30, 2025PECOS Enrolled

3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5533 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dhiaedin Athier Khiati NPPES

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

DHIAEDIN ATHIER KHIATI (NPI 1407749203) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407749203

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDHIAEDIN ATHIER KHIATI

Location Address3901 BEAUBIEN STDetroit, MI 48201-2196

Mailing Address4646 Cass AveDetroit, MI 48201-1200

Phone(313) 745-5533

Sole ProprietorNo

Enumeration DateMay 30, 2025

NPPES CertifiedMay 30, 2025

✔ NPI 1407749203 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 ST, 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)

Dhiaedin Athier Khiati 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.

KAROLINA MAKSIMOWSKI

Pediatrics (Pediatric Emergency Medicine)