MICHAEL VANANTWERP (MD) – Emergency Medicine Physician, NPI 1790349033

MICHAEL VANANTWERP (MD) is a healthcare provider. based in Detroit, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 036.158946 (IL). The NPI Number for MICHAEL VANANTWERP (MD) is 1790349033

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL VANANTWERP (MD)
NPI
1790349033
Phone
(248) 219-3748
Address
293 E PALMER ST
Enumeration Date
23 April 2019
Last Update Date
15 June 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6184368000
Graduation Year
2019 (7 years ago)
PAC ID
7113251109
Group Practice PAC ID
2163672650
Professional Enrollment ID
I20220822001663
Address ID
IL628013056CE400XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

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Provider Addresses for MICHAEL VANANTWERP (MD)

  • 293-299, East Palmer Street, Palmer Court Townhomes, New Center, Detroit, Wayne County, Michigan, 48202, United States

    DETROIT, MI 482023823

    Phone: (248) 219-3748

    Type: Mailing

  • DMC Sinai-Grace Hospital, 6071, West Outer Drive, Northwest Detroit, Detroit, Wayne County, Michigan, 48235, United States

    DETROIT, MI 482352624

    Phone: (313) 966-3329

    Type: Location

  • 6071 W Outer Dr

    Detroit, MI 482352624

    Phone: (313) 966-3329

    Type: Location

  • 320 E HIGHWAY 50

    O FALLON, IL 622692704

    Phone: (888) 577-6337

    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: 2022-08-22

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
I20220822001663IEmergency MedicineILTBD

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 making163160$0
99284Emergency department visit with moderate level of medical decision making9692$0
99291Critical care, first 30-74 minutes3837$0
99283Emergency department visit with low level of medical decision making2928$0
View full utilization report →

Insurance plans in this area (ZIP 48202)

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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: 2163672650View full group profile
NameSpecialtyState
Family PracticeSD
-IL
Emergency MedicineMO
Nurse PractitionerIL
Nurse PractitionerIL
Emergency MedicineMO
Emergency MedicineTX
Emergency MedicineMO
Emergency MedicineKY
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is MICHAEL VANANTWERP (MD)'s NPI number?
MICHAEL VANANTWERP (MD)'s NPI is 1790349033 — the number used across U.S. healthcare to identify this provider.
Is MICHAEL VANANTWERP (MD) still an active registrant?
MICHAEL VANANTWERP (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for MICHAEL VANANTWERP (MD)?
At a glance, MICHAEL VANANTWERP (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MICHAEL VANANTWERP (MD) located near Detroit?
MICHAEL VANANTWERP (MD) currently maps to Detroit, Michigan in this extract.
Does MICHAEL VANANTWERP (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.