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DR. PRANISH KANTAK MD MPH
NPI 1528635000
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since June 04, 2021PECOS Enrolled
2799 W. GRAND BOULEVARD, DETROIT, MI 48202(313) 916-1093(313) 916-7139 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pranish Kantak Md Mph NPPES

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

DR. PRANISH KANTAK MD MPH (NPI 1528635000) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351048706) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528635000
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PRANISH KANTAKCredential: MD MPH
Location Address2799 W. GRAND BOULEVARDDetroit, MI 48202-2608
Mailing Address2799 W. Grand BoulevardDetroit, MI 48202-2608 · (313) 916-1093 · Fax (313) 916-7139
Phone(313) 916-1093
Fax(313) 916-7139
Sole ProprietorNo
Enumeration DateJune 4, 2021
NPPES CertifiedJune 4, 2021
✔ NPI 1528635000 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
License✔ Licensed in MI · 4351048706
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.
2799 W. GRAND BOULEVARD, Detroit, MI 48202
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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)

Dr. Pranish Kantak Md Mph 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. BATOOL ALI SHUKR DO
Internal Medicine
2799 W. GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-1888
SOBHI FARES M.D.
Student in an Organized Health Care Education/Training Program
2799 W. GRAND BOULEVARD, HENRY FORD HOSPITAL, GRADUATE MEDICAL EDUCATION CFP-046
DETROIT, MI 48202
Wayne County (313) 916-1553
MRS. HAFSA ABDULLA MD
Student in an Organized Health Care Education/Training Program
2799 W. GRAND BOULEVARD, HENRY FORD HOSPITAL - MEDICAL EDUCATION DEPARTMENT
DETROIT, MI 48202
Wayne County (313) 916-1888
LAUREN QUINN MD
Emergency Medicine
2799 W. GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-1553
DANIEL COTTON
Student in an Organized Health Care Education/Training Program
2799 W. GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-1553
JOSHUA TEAR GAUDETTE MD
Radiology (Diagnostic Radiology)
2799 W. GRAND BOULEVARD, HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT
DETROIT, MI 48202
Wayne County (313) 916-3284
DR. JOSLYN NICOLE WITHERSPOON M.D., M.P.H.
Family Medicine
2799 W. GRAND BOULEVARD, HENRY FORD HOSPITAL
DETROIT, MI 48202
Wayne County (313) 916-1601
DR. BENJAMIN ARSIC MD
Student in an Organized Health Care Education/Training Program
2799 W. GRAND BOULEVARD, 2799 W. GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 874-5738

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 Pranish Kantak's NPI number?

The NPI number for Pranish Kantak is 1528635000. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Where is Pranish Kantak located?

Pranish Kantak practices at 2799 W. Grand Boulevard, Detroit, MI 48202. The listed phone number is (313) 916-1093.

What is Pranish Kantak's specialty?

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

Is Pranish Kantak enrolled in Medicare?

Yes. Pranish Kantak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pranish Kantak was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.