Doctor profile · Federal record
Dr. John Inthavongsa, DNP RN AGACNP-BC
Acute Care Nurse Practitioner (CMS: Nurse Practitioner) · Registered Nurse · Detroit, MI
- NPI 1588220222
- Accepts Medicare
- 7 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4201 Saint Antoine St
Detroit, MI 482012153
(313) 745-3000
fax (313) 745-4707 - Additional location
-
454 W Alexandrine St Apt 18
Detroit, MI 482011787
(347) 963-1896 - Mailing address
-
454 W Alexandrine St Apt 18
Detroit, MI 482011787
Credentials & registration
- NPI registered
- May 2019 — 7 yrs on file
- Profile last updated
- June 4, 2021
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363LA2100X — NUCC code
- State license (1)
- Michigan #4704309696
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1588220222. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$96
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | 2 | $46.79 | |
| Novartis Pharmaceuticals Corporation | 1 | $26.47 | |
| Janssen Pharmaceuticals, Inc | 1 | $23.20 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
12
Patients
12
Total drug cost
$36
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 12 | 12 | $36 |
Hospital affiliations
Frequently asked questions
What is Dr. John Inthavongsa's medical specialty?
Dr. John Inthavongsa practices Acute Care Nurse Practitioner in Detroit, MI.
Where does Dr. John Inthavongsa practice?
Dr. John Inthavongsa practices at 4201 Saint Antoine St, Detroit, MI 482012153. Office phone: 3137453000.
What is Dr. John Inthavongsa's NPI?
Dr. John Inthavongsa's National Provider Identifier (NPI) is 1588220222, issued by NPPES.
Does Dr. John Inthavongsa accept Medicare assignment?
Yes. Dr. John Inthavongsa accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.