Madison Elizabeth Delmarle, MS, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601012703 Issued in MI

Practice address

18181 Oakwood Blvd Ste 207
Dearborn, MI 48124-5031

Phone

(313) 551-3745

Fax

(313) 551-3984

NPI assigned

Aug 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

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.

• Heart Rhythm Clinics PC

  • Clinical Cardiac Electrophysiology Physician
  • Dearborn, MI
  • NPI 1720397045
  Medicare reassignment
• Olive Tree Medical Clinic PC

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1457660789
  Medicare reassignment
• Heart Rhythm Clinic of Michigan PC

  • Clinical Cardiac Electrophysiology Physician
  • Flint, MI
  • NPI 1659816882
  NPD (past)
• University of Detroit Mercy

  • General Practice Physician
  • Detroit, MI
  • NPI 1669187696
  NPD (past)

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1629802491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 207",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245031",
            "telephone_number": "313-551-3745",
            "fax_number": "313-551-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 207",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245031",
            "telephone_number": "313-551-3745",
            "fax_number": "313-551-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELMARLE",
        "first_name": "MADISON",
        "middle_name": "ELIZABETH",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601012703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anelisa Ariella Delgado-Rosario
• Selena Delgado
• Tracy K Delgado, CRNA
• Matthew James Dellaquila, M.D.
• Kimberle S Deller, MS APRN-BC
• Wendy Delozier-Krasicky, OTR/L
• Delta Medical Equipment LLC
• Jill Susan Deman, CCC-SLP
• Dembro Outpatient Services of Michigan
• Dementia Care Home Health Services, Inc.

• Medical Physician Assistant in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.