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CAMERON RAEDY
NPI 1952197162
Student in an Organized Health Care Education/Training Program in Royal Oak, MI

Active since April 15, 2025PECOS Enrolled
3555 W 13 MILE RD STE N-210, ROYAL OAK, MI 48073(248) 395-6487 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cameron Raedy NPPES

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

CAMERON RAEDY (NPI 1952197162) is an individual student in an organized health care education/training program in Royal Oak, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952197162
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCAMERON RAEDY
Location Address3555 W 13 MILE RD STE N-210Royal Oak, MI 48073-6710
Mailing Address3555 W 13 Mile Rd Ste N-210Royal Oak, MI 48073-6710
Phone(248) 395-6487
Sole ProprietorYes
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1952197162 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.
3555 W 13 MILE RD STE N-210, Royal Oak, MI 48073
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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)

Cameron Raedy 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 8

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

DR. HANNAH QUINN BARATZ DO
Student in an Organized Health Care Education/Training Program
3555 W 13 MILE RD STE N-210
ROYAL OAK, MI 48073
Oakland County (248) 395-6487
ALEXIS NICOLE HOWARTH DO
Student in an Organized Health Care Education/Training Program
3555 W 13 MILE RD STE N-210
ROYAL OAK, MI 48073
Oakland County (248) 395-6487
JOSHUA BAILEY DO
Student in an Organized Health Care Education/Training Program
3555 W 13 MILE RD STE N-210
ROYAL OAK, MI 48073
Oakland County (248) 395-6487
NADER BERRY MD
Student in an Organized Health Care Education/Training Program
3555 W 13 MILE RD STE N-210
ROYAL OAK, MI 48073
Oakland County (248) 865-4444
CORAY PREECE DO
Student in an Organized Health Care Education/Training Program
3555 W 13 MILE RD STE N-210
ROYAL OAK, MI 48073
Oakland County (248) 865-4444
ZAID SHAREEF DO
Otolaryngology
3555 W 13 MILE RD STE N-210
ROYAL OAK, MI 48073
Oakland County (248) 865-4444
GABRIELLA ANNA MANILLA DO
Student in an Organized Health Care Education/Training Program
3555 W 13 MILE RD STE N-210
ROYAL OAK, MI 48073
Oakland County (248) 395-6487
JATIN AHLUWALIA DO
Student in an Organized Health Care Education/Training Program
3555 W 13 MILE RD STE N-210
ROYAL OAK, MI 48073
Oakland County (248) 865-4444

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 Cameron Raedy's NPI number?

The NPI number for Cameron Raedy is 1952197162. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Cameron Raedy located?

Cameron Raedy practices at 3555 W 13 Mile Rd Ste N-210, Royal Oak, MI 48073. The listed phone number is (248) 395-6487.

What is Cameron Raedy's specialty?

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

Is Cameron Raedy enrolled in Medicare?

Yes. Cameron Raedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cameron Raedy was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.