CARLETA POYDRAS (PA-C) – Surgical Physician Assistant, NPI 1922348184

CARLETA POYDRAS (PA-C) is a healthcare provider. based in Detroit, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 560106069 (MI). The NPI Number for CARLETA POYDRAS (PA-C) is 1922348184

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
CARLETA POYDRAS (PA-C)
NPI
1922348184
Phone
Not provided
Address
6071 W OUTER DR
Enumeration Date
26 February 2013
Last Update Date
26 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3133672767
Graduation Year
2011 (15 years ago)
PAC ID
1254576325
Group Practice PAC ID
4385824382
Professional Enrollment ID
I20130320000067
Address ID
MI482354132DE17187HWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for CARLETA POYDRAS (PA-C)

  • 6071 W OUTER DR

    JOINT EXCEL PLUS ORTHOPEDIC CLINIC

    DETROIT, MI 482352624

    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)

CMS reports 7 Open Payments records for all available years, with a total value of $349.

Total Amount is formed as General ($349) + Research ($0) + Ownership ($0) = $349.

Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Smith+Nephew, Inc. ($151).

Total Amount

$349

General + Research + Ownership

Payments

7

Total payment records

General Amount

$349

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-03-20

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
I20130320000067IPhysician 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 48235)

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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: 4385824382View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationMI
Nurse PractitionerMI
Osteopathic Manipulative MedicineIL
Nurse PractitionerMI
Physical Medicine And Rehabilitation, Internal MedicineIL
Physician AssistantMI
Nurse PractitionerMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI

Reviews

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Frequently asked questions

Does CARLETA POYDRAS (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CARLETA POYDRAS (PA-C) uses 1922348184.
Can I rely on CARLETA POYDRAS (PA-C) being an active provider?
As of the registry snapshot, CARLETA POYDRAS (PA-C) is marked active.
What is CARLETA POYDRAS (PA-C)'s specialty?
The listing groups CARLETA POYDRAS (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does CARLETA POYDRAS (PA-C) list a practice location?
Patients near Detroit, Michigan may find CARLETA POYDRAS (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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