Carleta Poydras, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

560106069 Issued in MI

Practice address

6071 W Outer Dr
Joint Excel Plus Orthopedic Clinic
Detroit, MI 48235-2624

Phone

(313) 966-1013

Fax

(313) 966-9510

NPI assigned

Feb 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Rehabilitation PhysiciansGroup PAC ID 4385824382, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.25 of 100Reported as group

Quality

88.34

Improvement activities

40

Cost

69.71

Merit-based Incentive Payment System (MIPS)

Final score

90.26 of 100Reported as group

Quality

64.16

Promoting interoperability

100

Improvement activities

40

Cost

73.79

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: cpoydras@direct.dmc.org

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.

• Michigan Rehabilitation Physicians

  • Physical Medicine & Rehabilitation Physician
  • Detroit, MI
  • NPI 1215240502
  Medicare reassignment Care Compare group
• Laz Medical Group PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Southfield, MI
  • NPI 1053310128
  Medicare reassignment
• VHS Physicians of Michigan

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1073827101
  Medicare reassignment

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1922348184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "address_2": "JOINT EXCEL PLUS ORTHOPEDIC CLINIC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "address_2": "JOINT EXCEL PLUS ORTHOPEDIC CLINIC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-1013",
            "fax_number": "313-966-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POYDRAS",
        "first_name": "CARLETA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "560106069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niela Powell, ADC
• Princess Powell
• Rashida Ebony Powell
• Blair Powers
• Kelly Ann Powlishen, PA-C
• Neo Poyiadji, MD
• Gloria Jean Pozey-Engine, NURSE
• Alexander Poznanski, MD
• Nancy Ann Poznick, DDS
• PR Kids

• Surgical Physician Assistant in Detroit, MI
• Providers in Detroit, MI by specialty
• Surgical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.