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HENNA ATA DPM
NPI 1629827431
Student in an Organized Health Care Education/Training Program in Warren, MI

Active since May 14, 2024PECOS Enrolled
11900 E 12 MILE RD STE 102, WARREN, MI 48093(586) 573-7470(586) 573-0850 Get Directions Write a Review

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

Record update history: Jun 25, 2024, Jun 20, 2024, May 14, 2024 (3 updates tracked since 2024).

About Henna Ata Dpm NPPES

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

HENNA ATA DPM (NPI 1629827431) is an individual student in an organized health care education/training program in Warren, Michigan and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629827431
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHENNA ATACredential: DPM
Location Address11900 E 12 MILE RD STE 102Warren, MI 48093-3487
Mailing Address11900 E 12 Mile Rd Ste 102Warren, MI 48093-3487 · (586) 573-7470 · Fax (586) 573-0850
Phone(586) 573-7470
Fax(586) 573-0850
Sole ProprietorYes
Enumeration DateMay 14, 2024
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1629827431 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.
11900 E 12 MILE RD STE 102, Warren, MI 48093
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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)

Henna Ata 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 14

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

YONG KOH
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (586) 573-7470
CHRISTOPHER WOMAC
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (586) 573-7470
NATALYA VORONOVICH
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (586) 573-7470
AHMAD FIRAS ALLAHHAM
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (313) 423-1105
BLAICHIA THAO
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (586) 582-6630
DR. WISSAM DIMACHK DPM
Podiatrist (Foot & Ankle Surgery)
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (586) 573-7470
TAHA MAHMOOD DPM
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (586) 573-7470
ROSS CHRISTOPHER BARTLEY DPM
Podiatrist (Foot & Ankle Surgery)
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (586) 573-7470

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 Henna Ata's NPI number?

The NPI number for Henna Ata is 1629827431. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Henna Ata located?

Henna Ata practices at 11900 E 12 Mile Rd Ste 102, Warren, MI 48093. The listed phone number is (586) 573-7470.

What is Henna Ata's specialty?

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

Is Henna Ata enrolled in Medicare?

Yes. Henna Ata is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Henna Ata was last updated on June 25, 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.