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DR. EDIDIONG MACDONALD OKON BEN MD
NPI 1912754169
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 06, 2024PECOS Enrolled
4201 SAINT ANTOINE ST STE 6A, DETROIT, MI 48201(313) 745-4627(313) 966-7305 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edidiong Macdonald Okon Ben Md NPPES

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

DR. EDIDIONG MACDONALD OKON BEN MD (NPI 1912754169) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912754169
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EDIDIONG MACDONALD OKON BENCredential: MD
Location Address4201 SAINT ANTOINE ST STE 6ADetroit, MI 48201-2153
Mailing Address4201 Saint Antoine St Ste 9cDetroit, MI 48201-2153 · (313) 745-5147
Phone(313) 745-4627
Fax(313) 966-7305
Sole ProprietorNo
Enumeration DateMay 6, 2024
NPPES CertifiedMay 5, 2024
✔ NPI 1912754169 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.
4201 SAINT ANTOINE ST STE 6A, 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)

Dr. Edidiong Macdonald Okon Ben Md 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.

AVNEET KAUR M S ARORA MD, MPH
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
ABDUL RASHEED BAHAR MD
Internal Medicine
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
DR. PRANIT SUNKARA MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (462) 731-3745
SHAHEENA RAHEEM
Internal Medicine
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
DR. MARIAM EL-MAGBRI MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
NOORULANN SHERWANI MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
VARUN NANDAMUDI DO
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
AHMAD KOFAHI MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627

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 Edidiong Okon Ben's NPI number?

The NPI number for Edidiong Okon Ben is 1912754169. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Edidiong Okon Ben located?

Edidiong Okon Ben practices at 4201 Saint Antoine St Ste 6A, Detroit, MI 48201. The listed phone number is (313) 745-4627.

What is Edidiong Okon Ben's specialty?

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

Is Edidiong Okon Ben enrolled in Medicare?

Yes. Edidiong Okon Ben is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edidiong Okon Ben was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.