DMITRII CHERNYSHEV M.D.
NPI 1528743515
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Dmitrii Chernyshev's NPI number?

The NPI number for Dmitrii Chernyshev is 1528743515. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Q: What is Dmitrii Chernyshev's specialty?

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

Active since June 19, 2023PECOS Enrolled

6071 W OUTER DR, DETROIT, MI 48235(313) 745-6047 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 2, 2023, Jun 19, 2023 (2 updates tracked since 2023).

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About Dmitrii Chernyshev M.d. NPPES

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

DMITRII CHERNYSHEV M.D. (NPI 1528743515) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528743515

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDMITRII CHERNYSHEVCredential: M.D.

Location Address6071 W OUTER DRDetroit, MI 48235-2624

Mailing Address4201 Saint Antoine St Uhc 9cDetroit, MI 48201-2153 · (313) 745-5146

Phone(313) 745-6047

Sole ProprietorNo

Enumeration DateJune 19, 2023

Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1528743515 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.

6071 W OUTER DR, Detroit, MI 48235

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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)

Dmitrii Chernyshev 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.

MS. LILIA POPADIUK P.A.

Physician Assistant