CLARE LATKOVIC – Physician Assistant, NPI 1013708585

CLARE LATKOVIC is a healthcare provider. based in Detroit, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601013150 (MI). The NPI Number for CLARE LATKOVIC is 1013708585

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
CLARE LATKOVIC
NPI
1013708585
Phone
Not provided
Address
42 W WARREN AVE
Enumeration Date
14 May 2025
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2482063797
Graduation Year
2025 (1 year ago)
PAC ID
1759897655
Group Practice PAC ID
1052670882
Professional Enrollment ID
I20250718000763
Address ID
MI480712531MA350XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for CLARE LATKOVIC

  • 42 W WARREN AVE

    DETROIT, MI 482011347

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250718000763IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052670882View full group profile
NameSpecialtyState
General Practice, Internal MedicineMI
General PracticeMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
N E U R O L O G YMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

What NPI should I save for CLARE LATKOVIC?
Save NPI 1013708585 if you need a stable reference for CLARE LATKOVIC.
Is CLARE LATKOVIC's NPI currently valid?
The extract we use shows CLARE LATKOVIC as active.
Can you summarize CLARE LATKOVIC's specialty in plain language?
Clinically, the directory lists CLARE LATKOVIC with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is CLARE LATKOVIC's primary listing?
We display Detroit, Michigan because that is what the record indicates for CLARE LATKOVIC.
How can I contact CLARE LATKOVIC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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