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MELAT ASGEDOM MD
NPI 1669227344
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 17, 2024PECOS Enrolled
4201 SAINT ANTOINE ST # 6A, DETROIT, MI 48201(313) 745-4627(313) 966-7305 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melat Asgedom Md NPPES

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

MELAT ASGEDOM MD (NPI 1669227344) 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

NPI1669227344
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMELAT ASGEDOMCredential: MD
Location Address4201 SAINT ANTOINE ST # 6ADetroit, MI 48201-2153
Mailing Address4201 Saint Antoine St # 9cDetroit, MI 48201-2153 · (313) 745-5147
Phone(313) 745-4627
Fax(313) 966-7305
Sole ProprietorNo
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1669227344 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 SAINT ANTOINE ST # 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)

Melat Asgedom 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.

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 Melat Asgedom's NPI number?

The NPI number for Melat Asgedom is 1669227344. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Melat Asgedom located?

Melat Asgedom practices at 4201 Saint Antoine St # 6A, Detroit, MI 48201. The listed phone number is (313) 745-4627.

What is Melat Asgedom's specialty?

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

Is Melat Asgedom enrolled in Medicare?

Yes. Melat Asgedom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melat Asgedom was last updated on April 17, 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.