Detroit Medical Center
NPI 1770869257ActiveOrganization· Physician Assistant, Surgical· Detroit, MI
Physician Assistant, Surgical in Detroit, Michigan, registered in NPPES in October 2011. The authorized official on file is Cheryl Kelley, Manager, Credentialing And Enrollme.
Overview
| NPI | 1770869257 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 27, 2011 |
| Last updated in NPPES | Oct 27, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 5601006086 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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