Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chantelle Mims, DO

Individual provider Emergency Medicine Physician · NPI 1275093114

Chantelle Mims, DO is an Emergency Medicine in Warren, Michigan. Qualified in 2019, 7 years ago. Practices with Independent Observation Physicians PLLC, a 136-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone: (586) 573-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 39000 7 Mile Rd, Livonia, MI 48152-1006 — (947) 523-4316

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101026806 (MI)

Record details

NPI number1275093114
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address2333 Biddle Ave, Wyandotte, MI 48192-4668

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Independent Observation Physicians Pllc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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