Andrew Charles Abiragi
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Pontiac, MI
NPI 1003753054 · NPPES record last updated Apr 29, 2026
Key facts
- NPI
- 1003753054
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 50 N Perry St
Pontiac, MI 48342-2217 - Phone
- (248) 338-5300
- NPI assigned
- Apr 29, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260602001057 | MI | Order and Referring Only - Internal Medicine |
2567933476 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | Yes |
Addresses
Primary practice location
50 N Perry St
Pontiac, MI 48342-2217
Mailing address
50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5300
Other providers in Pontiac, MI
- Ali Hassan Abbas
- Fatma Abdel-Rahim
- Adib Abdelrahman
- Anan A Abdelrahman
- Ayodeji Eyitayo Abejide
- Melanie Abner
- Hassan Osama Mostafa Aboul-Nour
- John M Abraham
- Tina Elizabeth Abraham
- Matthew Albert Abraira
All providers in Pontiac, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.