WAYNE COUNTY AIRPORT AUTHORITY – Ambulance, NPI 1194769828
Ambulance
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WAYNE COUNTY AIRPORT AUTHORITY
L.C. SMITH TERMINAL MEZZANINE
ROMULUS, MI 482421090
Phone: (734) 247-7364
Fax: (734) 942-3667
Type: Mailing
11050 ROGELL DR # 602
DETROIT, MI 482421144
Phone: (734) 942-3602
Fax: (734) 247-7332
Type: Mailing
DETROIT METRO WILLOW RUN
DETROIT, MI 48242
Phone: (734) 247-7364
Fax: (734) 942-3667
Type: Location
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: 2004-07-08
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-10-31 (137 days away).
Enrollment records
1
Earliest due date
2026-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040708000001 | O | Ambulance Service Supplier | MI | 2026-10-31 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 5,724 | 85 | $0 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 69 | 69 | $0 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 17 | 16 | $0 |
Insurance plans in this area (ZIP 48242)
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