CANEISAYA MATTHEWS MD
NPI 1558065862
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Caneisaya Matthews Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANEISAYA MATTHEWS MD (NPI 1558065862) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Caneisaya Matthews Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
DETROIT, MI 48202
DETROIT, MI 48202
DETROIT, MI 48202
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 Caneisaya Matthews's NPI number?
The NPI number for Caneisaya Matthews is 1558065862. It was assigned to this individual provider in the NPPES registry on March 29, 2023.
Where is Caneisaya Matthews located?
Caneisaya Matthews practices at 3031 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-1032.
What is Caneisaya Matthews's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Caneisaya Matthews enrolled in Medicare?
Yes. Caneisaya Matthews is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Caneisaya Matthews was last updated on June 6, 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.
# Caneisaya Matthews, MD · NPI 1558065862
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since March 29, 2023.
## Identity
- **NPI:** 1558065862 (Entity type: Individual)
- **Enumerated:** March 29, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3031 W GRAND BLVD, Detroit, MI 48202-3046
- **Phone:** (313) 916-1032
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558065862) · Data from the CMS NPPES public registry.