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ANAS IDRIS M.D.
NPI 1700519469
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since July 08, 2022PECOS Enrolled
2799 W GRAND BOULEVARD, DETROIT, MI 48202(313) 916-1601 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 20, 2023, Jul 8, 2022 (2 updates tracked since 2022).

About Anas Idris M.d. NPPES

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

ANAS IDRIS M.D. (NPI 1700519469) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700519469
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANAS IDRISCredential: M.D.
Location Address2799 W GRAND BOULEVARDDetroit, MI 48202
Mailing Address2799 W Grand BoulevardDetroit, MI 48202-2689 · (313) 916-1601 · Fax (313) 916-2018
Phone(313) 916-1601
Sole ProprietorNo
Enumeration DateJuly 8, 2022
Last NPPES UpdateFebruary 20, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2023
✔ NPI 1700519469 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.
2799 W GRAND BOULEVARD, Detroit, MI 48202
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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)

Anas Idris 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.

Other Providers at the Same Location NPPES 6

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

MR. ABDELRAHMAN ESSAM AHMED SOLIMAN ELFAHAM M.D.
Psychiatry & Neurology (Neurology)
2799 W GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-1601
DR. DANIEL NICHOLAS JOURDAN MD
Internal Medicine (Pulmonary Disease)
2799 W GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-1553
MARY GRACE FITZMAURICE PHARMD
Pharmacist (Pharmacotherapy)
2799 W GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-4622
KATHERINE J. ASHMORE N.P.
Nurse Practitioner (Acute Care)
2799 W GRAND BOULEVARD, K14 CARDIOLOGY
DETROIT, MI 48202
Wayne County (313) 461-9110
ANGELI ELOISE TORRES MD
Student in an Organized Health Care Education/Training Program
2799 W GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-3284
DR. ANIEBIETABASI OKON-UMOREN M.D
Family Medicine
2799 W GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-1601

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 Anas Idris's NPI number?

The NPI number for Anas Idris is 1700519469. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Where is Anas Idris located?

Anas Idris practices at 2799 W Grand Boulevard, Detroit, MI 48202. The listed phone number is (313) 916-1601.

What is Anas Idris's specialty?

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

Is Anas Idris enrolled in Medicare?

Yes. Anas Idris is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anas Idris was last updated on February 20, 2023. 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.