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ELIAS SILESHI BOGALE MD
NPI 1528816907
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 09, 2024PECOS Enrolled
4201 ST. ANTOINE ST, SUITE 6A, DETROIT, MI 48201(313) 966-7305(313) 966-7305 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elias Sileshi Bogale Md NPPES

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

ELIAS SILESHI BOGALE MD (NPI 1528816907) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528816907
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELIAS SILESHI BOGALECredential: MD
Location Address4201 ST. ANTOINE ST, SUITE 6ADetroit, MI 48201-2153
Mailing Address4201 St. Antoine St, Suite 9cDetroit, MI 48201-2153 · (313) 745-5147
Phone(313) 966-7305
Fax(313) 966-7305
Sole ProprietorNo
Enumeration DateMay 9, 2024
Last NPPES UpdateOctober 25, 2024
✔ NPI 1528816907 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.
4201 ST. ANTOINE ST, SUITE 6A, 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)

Elias Sileshi Bogale Md 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENAN ABOU CHAER M.D.
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE ST, SUITE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627

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 Elias Sileshi Bogale's NPI number?

The NPI number for Elias Sileshi Bogale is 1528816907. It was assigned to this individual provider in the NPPES registry on May 9, 2024.

Where is Elias Sileshi Bogale located?

Elias Sileshi Bogale practices at 4201 St. Antoine St, Suite 6A, Detroit, MI 48201. The listed phone number is (313) 966-7305.

What is Elias Sileshi Bogale's specialty?

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

Is Elias Sileshi Bogale enrolled in Medicare?

Yes. Elias Sileshi Bogale is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elias Sileshi Bogale was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.