Individual provider Active NPI

Clare Latkovic

  • Physician Assistant
  • Detroit, MI
National Provider Identifier
1013708585
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
42 W Warren Ave
Detroit, MI 48201-1347
Phone
(313) 577-2424
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601013150 MI
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

42 W Warren Ave
Detroit, MI 48201-1347

Mailing address

42 W Warren Ave
Detroit, MI 48201-1347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250718000763 MI Practitioner - Physician Assistant 1759897655 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wayne State University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Get Well Urgent Care Downriver PLCGroup PAC ID 5193061992, 19 clinicians
Get Well Urgent Care Taylor PLCGroup PAC ID 4385011329, 14 clinicians
Oak Park Urgent Care PLLCGroup PAC ID 6305169988, 23 clinicians
Get Well Urgent Care Sterling Heights PLCGroup PAC ID 8820405400, 19 clinicians
Hoover Urgent Care of Warren PLLCGroup PAC ID 6204073752, 38 clinicians
Get Well Urgent Care Madison Heights PLCGroup PAC ID 1052670882, 22 clinicians

Practice addresses (Care Compare)

1770 Fort St
Lincoln Park, MI 48146-1904
Phone (313) 466-4000

20202 Eureka Rd
Taylor, MI 48180-5317
Phone (734) 589-1300

24661 Coolidge Hwy
Oak Park, MI 48237-1449
Phone (248) 398-4000

2567 Metropolitan Pkwy
Sterling Heights, MI 48310-7146
Phone (586) 754-0000

26000 Hoover Rd
Warren, MI 48089-1167
Phone (586) 722-0707

350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Phone (248) 206-3797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1013708585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011347",
            "telephone_number": "313-577-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATKOVIC",
        "first_name": "CLARE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013150",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.