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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNY IMPEMBA DO
NPI 1841870581
Pediatrics in Detroit, MI

Active since April 08, 2021PECOS Enrolled
4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201(313) 745-5146 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Apr 8, 2021 (2 updates tracked since 2021).

About Jenny Impemba Do NPPES

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

JENNY IMPEMBA DO (NPI 1841870581) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (5101028169) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1841870581
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJENNY IMPEMBACredential: DO
Location Address4201 SAINT ANTOINE ST # 9CDetroit, MI 48201-2153
Mailing Address16685 Sarno DrMacomb, MI 48044-4819
Phone(313) 745-5146
Sole ProprietorNo
Enumeration DateApril 8, 2021
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1841870581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 5101028169
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4201 SAINT ANTOINE ST # 9C, Detroit, MI 48201
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Secondary Practice Location 1

Location 13901 Beaubien StDetroit, MI 48201-2119 · Phone (313) 745-5638

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny Impemba 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. STEPHANIE NICOLE STEVENS MD
Anesthesiology
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-5146
MANPREET KAUR MD
Emergency Medicine
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-5146
PRIYA SHARMA MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-5146
HUSSEIN CHAHROUR MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-3433
SHIREEN NASER ABDEL-RAZZAQ MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-5146
MR. EMMANUEL OLAOLUWA DANIEL MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-8040
DR. BRANDON B HUDSON MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-5146
DANIELLE SHANA GABE MD
Emergency Medicine
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-5146

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 Jenny Impemba's NPI number?

The NPI number for Jenny Impemba is 1841870581. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Jenny Impemba located?

Jenny Impemba practices at 4201 Saint Antoine St # 9C, Detroit, MI 48201. The listed phone number is (313) 745-5146.

What is Jenny Impemba's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jenny Impemba enrolled in Medicare?

Yes. Jenny Impemba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenny Impemba was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.