1. Home
  2. Directory
  3. Michigan
  4. Southfield
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MATTHEW R AMMERMAN DO
NPI 1578314308
Student in an Organized Health Care Education/Training Program in Southfield, MI

Active since March 29, 2024PECOS Enrolled
22250 PROVIDENCE DR STE 500, SOUTHFIELD, MI 48075(810) 919-8487 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew R Ammerman Do NPPES

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

MATTHEW R AMMERMAN DO (NPI 1578314308) is an individual student in an organized health care education/training program in Southfield, Michigan and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578314308
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW R AMMERMANCredential: DO
Location Address22250 PROVIDENCE DR STE 500Southfield, MI 48075-6213
Mailing Address22250 Providence Dr Ste 500Southfield, MI 48075-6213 · (810) 919-8487
Phone(810) 919-8487
Sole ProprietorNo
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1578314308 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.

22250 PROVIDENCE DR STE 500, Southfield, MI 48075
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew R Ammerman Do 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.

SHAHED KHALEFIH
Family Medicine
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-2203
BRANDON B ANTON DO
Family Medicine
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
JEFFREY MICHAEL EICHENLAUB MSN. APRN, FNP-C
Nurse Practitioner
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
MEGHAN GATWARD KEMP DO
Family Medicine
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
AKSHAY BANSAL DO
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
MORGAN ALANNA LOCKWOOD DO
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
ANTHONY SALEM
Family Medicine
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
DR. NICOLA CHAUNTAY OKAFOR D.O.
Family Medicine
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441

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 Matthew Ammerman's NPI number?

The NPI number for Matthew Ammerman is 1578314308. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Matthew Ammerman located?

Matthew Ammerman practices at 22250 Providence Dr Ste 500, Southfield, MI 48075. The listed phone number is (810) 919-8487.

What is Matthew Ammerman's specialty?

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

Is Matthew Ammerman enrolled in Medicare?

Yes. Matthew Ammerman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Ammerman was last updated on March 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.