Active NPI
Clare Latkovic
- Physician Assistant
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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.
-
- Urgent Care Clinic/Center
- Lincoln Park, MI
- NPI 1578035317
-
- Urgent Care Clinic/Center
- Madison Heights, MI
- NPI 1295240307
-
- Urgent Care Clinic/Center
- Sterling Heights, MI
- NPI 1891381232
-
- Urgent Care Clinic/Center
- Taylor, MI
- NPI 1689320012
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1821351610
-
- Urgent Care Clinic/Center
- Oak Park, MI
- NPI 1770980385
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.