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MS. CARLESHA ASHANTI BLADES M.D.
NPI 1679218523
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 04, 2022PECOS Enrolled
4201 ST. ANTOINE BOULEVARD, DETROIT, MI 48201(313) 745-3000(313) 993-8669 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2022, May 4, 2022 (2 updates tracked since 2022).

About Ms. Carlesha Ashanti Blades M.d. NPPES

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

MS. CARLESHA ASHANTI BLADES M.D. (NPI 1679218523) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4321049799) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679218523
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. CARLESHA ASHANTI BLADESCredential: M.D.
Location Address4201 ST. ANTOINE BOULEVARDDetroit, MI 48201
Mailing Address3730 4th StDetroit, MI 48201 · (248) 763-6757
Phone(313) 745-3000
Fax(313) 993-8669
Sole ProprietorNo
Enumeration DateMay 4, 2022
Last NPPES UpdateDecember 5, 20222 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1679218523 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
License✔ Licensed in MI · 4321049799
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 ST. ANTOINE BOULEVARD, 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)

Ms. Carlesha Ashanti Blades M.d. 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 Carlesha Blades's NPI number?

The NPI number for Carlesha Blades is 1679218523. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Carlesha Blades located?

Carlesha Blades practices at 4201 St. Antoine Boulevard, Detroit, MI 48201. The listed phone number is (313) 745-3000.

What is Carlesha Blades's specialty?

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

Is Carlesha Blades enrolled in Medicare?

Yes. Carlesha Blades is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carlesha Blades was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.