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DR. SOPHIE WITTENBERG MD
NPI 1912756867
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 14, 2024PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sophie Wittenberg Md NPPES

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

DR. SOPHIE WITTENBERG MD (NPI 1912756867) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351052887) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912756867
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SOPHIE WITTENBERGCredential: MD
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address2799 W Grand BlvdDetroit, MI 48202-2608
Phone(313) 916-2600
Sole ProprietorNo
Enumeration DateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1912756867 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
License✔ Licensed in MI · 4351052887
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 BLVD, Detroit, MI 48202
Open in Google Maps ↗

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. Sophie Wittenberg 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.

MRS. AMY B DECKER MS, CGC
Genetic Counselor, MS
2799 W GRAND BLVD, MEDICAL GENETICS CFP-4
DETROIT, MI 48202
Wayne County (313) 916-1303
CLARA TAPANINEN NP
Nurse Practitioner (Women's Health)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-5445
DR. DAVID J. VANGURA MD
Anesthesiology
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
HENRY FORD HEALTH SYSTEM
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2799 W GRAND BLVD, WP-1102A
DETROIT, MI 48202
Wayne County (313) 916-2927
IMRAN KHALID M.D.
Internal Medicine
2799 W GRAND BLVD, K-17
DETROIT, MI 48202
Wayne County (313) 705-2186
DR. GARY STEVEN ASSARIAN D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (248) 358-4510
DR. DAVID J KASTAN M.D.
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD, HENRY FORD DEPT. OF RADIOLOGY
DETROIT, MI 48202
Wayne County (313) 916-7425
JESSICA LYNN STAMATIS PAC
Physician Assistant
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600

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 Sophie Wittenberg's NPI number?

The NPI number for Sophie Wittenberg is 1912756867. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Sophie Wittenberg located?

Sophie Wittenberg practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.

What is Sophie Wittenberg's specialty?

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

Is Sophie Wittenberg enrolled in Medicare?

Yes. Sophie Wittenberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sophie Wittenberg was last updated on May 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.