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KIM ABBEGAIL TAN ALDECOA
NPI 1700517778
Student in an Organized Health Care Education/Training Program in Pontiac, MI

Active since June 21, 2022PECOS Enrolled
ST. JOSEPH MERCY OAKLAND HOSPITAL,44405 WOODWARD AVENUE, MEDICAL EDUCATION DEPARTMENT H23, PONTIAC, MI 48341(248) 858-6233(248) 858-3244 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Abbegail Tan Aldecoa NPPES

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

KIM ABBEGAIL TAN ALDECOA (NPI 1700517778) is an individual student in an organized health care education/training program in Pontiac, Michigan and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700517778
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIM ABBEGAIL TAN ALDECOA
Location AddressST. JOSEPH MERCY OAKLAND HOSPITAL,44405 WOODWARD AVENUE, MEDICAL EDUCATION DEPARTMENT H23Pontiac, MI 48341
Mailing AddressSt. Joseph Mercy Oakland Hospital,44405 Woodward Avenue, Medical Education Department H23Pontiac, MI 48341 · (248) 858-6233 · Fax (248) 858-3244
Phone(248) 858-6233
Fax(248) 858-3244
Sole ProprietorNo
Enumeration DateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1700517778 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.
ST. JOSEPH MERCY OAKLAND HOSPITAL,44405 WOODWARD AVENUE, Pontiac, MI 48341
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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)

Kim Abbegail Tan Aldecoa 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 Kim Abbegail Aldecoa's NPI number?

The NPI number for Kim Abbegail Aldecoa is 1700517778. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Kim Abbegail Aldecoa located?

Kim Abbegail Aldecoa practices at St. Joseph Mercy Oakland Hospital,44405 Woodward Avenue Medical Education Department H23, Pontiac, MI 48341. The listed phone number is (248) 858-6233.

What is Kim Abbegail Aldecoa's specialty?

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

Is Kim Abbegail Aldecoa enrolled in Medicare?

Yes. Kim Abbegail Aldecoa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kim Abbegail Aldecoa was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.