Individual provider Active NPI

Brittney Onyeador, PA

  • Physician Assistant
  • Detroit, MI
National Provider Identifier
1063224566
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012886 Issued in MI
Practice address
1405 W Canfield St
Detroit, MI 48208-3076
Phone
(734) 223-8517
NPI assigned
Jan 22, 2025
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012886 MI Primary

Addresses

Primary practice location

1405 W Canfield St
Detroit, MI 48208-3076

Mailing address

1405 W Canfield St
Detroit, MI 48208-3076
Phone (734) 223-8517

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
I20250308000153 MI Practitioner - Physician Assistant 7012438948 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farmington Hills Urgent Care Walk-in Clinic PCGroup PAC ID 0648652644, 4 clinicians

Practice addresses (Care Compare)

25950 Middlebelt Rd
Farmington Hills, MI 48336-1447
Phone (313) 948-3055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601012886MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Urgent Care Southfield Past Accepting new patients

Organizations & group practices 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1063224566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W CANFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482083076",
            "telephone_number": "734-223-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W CANFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482083076",
            "telephone_number": "734-223-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEADOR",
        "first_name": "BRITTNEY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.