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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANTIONETTE EDLER DO
NPI 1841121167
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 26, 2026PECOS Enrolled
3031 W GRAND BLVD STE 600, DETROIT, MI 48202(313) 871-3751 Get Directions Write a Review

NPPES record added: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antionette Edler Do NPPES

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

ANTIONETTE EDLER DO (NPI 1841121167) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841121167
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANTIONETTE EDLERCredential: DO
Location Address3031 W GRAND BLVD STE 600Detroit, MI 48202-3014
Mailing Address74 Cobham Wharf CirSurry, VA 23883-3016
Phone(313) 871-3751
Sole ProprietorYes
Enumeration DateMay 26, 2026
NPPES CertifiedMay 26, 2026
✔ NPI 1841121167 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.
3031 W GRAND BLVD STE 600, 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)

Antionette Edler Do 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 20

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

DR. ASHLEY NICHOLE DABABNEH DO
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
DR. JOSEPHINE IRUKAEGO NGAMA MD
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
DR. DANA JAALOUK MD
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
DEEPAK SASHTI MD
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
ESEOSA OMOSIVIE URHOGHIDE M.D
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
ADAM KHANAFER
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
RACHEL ADEBUKOLA O'DARE NP
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (708) 299-2318
MARIA NAUSHAB DO
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751

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 Antionette Edler's NPI number?

The NPI number for Antionette Edler is 1841121167. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Antionette Edler located?

Antionette Edler practices at 3031 W Grand Blvd Ste 600, Detroit, MI 48202. The listed phone number is (313) 871-3751.

What is Antionette Edler's specialty?

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

Is Antionette Edler enrolled in Medicare?

Yes. Antionette Edler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antionette Edler was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.