MISS BENITA JOSHLEY JEBACKUMAR DPM
NPI 1528819943
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Benita Jebackumar's NPI number?

The NPI number for Benita Jebackumar is 1528819943. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Q: What is Benita Jebackumar'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 Benita Jebackumar was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 01, 2024PECOS Enrolled

22201 MOROSS RD STE 250, DETROIT, MI 48236(313) 343-3423(313) 343-3401 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miss Benita Joshley Jebackumar Dpm NPPES

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

MISS BENITA JOSHLEY JEBACKUMAR DPM (NPI 1528819943) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528819943

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMISS BENITA JOSHLEY JEBACKUMARCredential: DPM

Location Address22201 MOROSS RD STE 250Detroit, MI 48236-2175

Mailing Address22201 Moross Rd Ste 250Detroit, MI 48236-2175 · (313) 343-3423 · Fax (313) 343-3401

Phone(313) 343-3423

Fax(313) 343-3401

Sole ProprietorNo

Enumeration DateApril 1, 2024

NPPES CertifiedApril 1, 2024

✔ NPI 1528819943 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.

22201 MOROSS RD STE 250, Detroit, MI 48236

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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)

Miss Benita Joshley Jebackumar Dpm 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 5

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

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