Active NPI
Hanaka Fukada, M.D.
- Student in an Organized Health Care Education/Training Program
- Detroit, MI
National Provider Identifier
1700705415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3901 Beaubien Blvd Childrens Hospital of Michigan
Detroit, MI 48201 - Phone
- (313) 745-1892
- Fax
- (313) 993-7118
- NPI assigned
- Jul 15, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3901 Beaubien Blvd Childrens Hospital of Michigan
Detroit, MI 48201
Mailing address
3901 Beaubien Blvd Childrens Hospital of Michigan
Pediatric Graduate Medical Education RM 3T72
Detroit, MI 48201
Phone (313) 745-1892
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1700705415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN BLVD CHILDRENS HOSPITAL OF MICHIGAN",
"address_2": "PEDIATRIC GRADUATE MEDICAL EDUCATION RM 3T72",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-1892",
"fax_number": "313-993-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN BLVD CHILDRENS HOSPITAL OF MICHIGAN",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-1892",
"fax_number": "313-993-7118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUKADA",
"first_name": "HANAKA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-15",
"last_updated": "2026-07-15",
"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 Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.