Individual provider Active NPI

David Alton Aprahamian, D.O.

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1043369929
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101014142 Issued in MI
Practice address
2395 W Grand Blvd
Detroit, MI 48208-1210
Phone
(313) 897-2061
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101014142 MI Primary

Addresses

Primary practice location

2395 W Grand Blvd
Detroit, MI 48208-1210

Mailing address

40484 Coachwood Cir
Northville, MI 48168-3274
Phone (734) 536-4681

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150707003143 MI Order and Referring Only - Family PracticePractitioner - Family Practice 0941489736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101014142MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Health Care for the Homeless Past Accepting new patients

Organizations & group practices 1

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1043369929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40484 COACHWOOD CIR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683274",
            "telephone_number": "734-536-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081210",
            "telephone_number": "313-897-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APRAHAMIAN",
        "first_name": "DAVID",
        "middle_name": "ALTON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.