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

Madelyn Rose Aittama

Individual provider Emergency Medicine Physician · NPI 1508482514

Madelyn Rose Aittama is an Emergency Medicine in Detroit, Michigan. Qualified in 2022, 4 years ago. Practices with Emergency Physicians of Northwest Ohio, Inc, a 101-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-3400
Fax: (313) 343-4056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4351049162 (MI)

Record details

NPI number1508482514
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2020
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022
Mailing address22101 Moross Rd, Detroit, MI 48236-2148

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Emergency Physicians Of Northwest Ohio, Inc. — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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