JULIE MARIE LATA (D.O.) – Emergency Medicine Physician, NPI 1689882854

JULIE MARIE LATA (D.O.) is a healthcare provider. based in Mount clemens, Michigan. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. NPI5101016802 (MI). The NPI Number for JULIE MARIE LATA (D.O.) is 1689882854

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
JULIE MARIE LATA (D.O.)
NPI
1689882854
Phone
(586) 493-8101
Address
1000 HARRINGTON ST
Enumeration Date
19 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
5864938000
Graduation Year
2006 (20 years ago)
PAC ID
7618019456
Group Practice PAC ID
4284931130
Professional Enrollment ID
I20100116000423
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JULIE MARIE LATA (D.O.)

  • McLaren Macomb, 1000, Harrington Street, Mount Clemens, Clinton Township, Macomb County, Michigan, 48043, United States

    MOUNT CLEMENS, MI 480432920

    Phone: (586) 493-8101

    Type: Location

  • 12175, Noonan Court, Stonefield Village, Utica, Macomb County, Michigan, 48315, United States

    UTICA, MI 483155871

    Phone: (586) 323-3022

    Type: Mailing

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: 2010-01-16

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
I20100116000423IEmergency MedicineMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making5151$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2120$0
99291Critical care, first 30-74 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 48043)

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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: 4284931130View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
-IL
Emergency MedicineMI
Emergency MedicineMI
-MI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI

Reviews

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Frequently asked questions

Is JULIE MARIE LATA (D.O.) listed with a National Provider Identifier?
Yes — JULIE MARIE LATA (D.O.) has NPI 1689882854 on file in the registry.
Is JULIE MARIE LATA (D.O.) still an active registrant?
JULIE MARIE LATA (D.O.) carries an active NPI according to the public dataset.
How would a patient describe JULIE MARIE LATA (D.O.)'s focus?
For JULIE MARIE LATA (D.O.), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JULIE MARIE LATA (D.O.)?
Travel planning: use Mount Clemens, Michigan as the reference point for JULIE MARIE LATA (D.O.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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