Active NPI
Joao Pedro Emrich Accioly, M.D.
- Student in an Organized Health Care Education/Training Program
- Detroit, MI
National Provider Identifier
1154025690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4201 Saint Antoine St
Detroit, MI 48201-2153 - Phone
- (313) 577-4937
- Fax
- (313) 577-5217
- NPI assigned
- Mar 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
Detroit, MI 48201-2153
Mailing address
4201 St. Antoine
7C Uhc
Detroit, MI 48201
Phone (313) 577-4937
Other practice location 1
1750 Ansel Rd Apt 215
Cleveland, OH 44106-4119
Phone (216) 894-5467
Other practice location 2
1900 Rua Tenente Benevolo
Apt 1000
Fortaleza, CE 60160041
BR
Phone (216) 894-5467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jemrichaccioly3054678@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1154025690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 ST. ANTOINE",
"address_2": "7C UHC",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-577-4937",
"fax_number": "313-577-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-577-4937",
"fax_number": "313-577-5217"
}
],
"practiceLocations": [
{
"address_1": "1750 Ansel Rd Apt 215",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441064119",
"country_code": "US",
"telephone_number": "216-894-5467",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Rua Tenente Benevolo",
"address_2": "Apt 1000",
"address_purpose": "LOCATION",
"city": "Fortaleza",
"state": "CE",
"postal_code": "60160041",
"country_code": "BR",
"telephone_number": "216-894-5467",
"country_name": "Brazil",
"address_type": "FGN"
}
],
"basic": {
"last_name": "EMRICH ACCIOLY",
"first_name": "JOAO PEDRO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-29",
"last_updated": "2023-03-29",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"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 Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.