Ikechukwu Mgbudem

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4351055089 Issued in MI

Practice address

Oakland Integrated Health Care Network Dba Honor Commun
461 West Huron Street, Suite 107
Pontiac, MI 48341-0150

Phone

(248) 724-7600

Fax

(248) 857-7141

NPI assigned

Jun 30, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ikechukwu.mgbudem.p1@direct.oihn.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oakland Integrated Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Pontiac, MI
  • NPI 1316214299
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1003705617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430150",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483430150",
            "telephone_number": "248-724-7600",
            "fax_number": "248-857-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OAKLAND INTEGRATED HEALTH CARE NETWORK DBA HONOR COMMUN",
            "address_2": "461 WEST HURON STREET, SUITE 107",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483410150",
            "telephone_number": "248-724-7600",
            "fax_number": "248-857-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MGBUDEM",
        "first_name": "IKECHUKWU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351055089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Medical Group
• Paul Mergo, M.D.
• Brandon Christopher Merta, RN, RNFA, CNOR
• Metropolitan Dental Center of Pontiac PC
• Victoria Ann Meyer, LLMSW
• Lucas Miazga, DO
• Michael L. Hicks, MD, PC
• Michael L. Hicks, MD, PC
• Michigan Ear Nose and Throat Associates PC (Michigan Ear Nose and Throat)
• Michigan Infectious Disease Consultants PC

• Family Medicine Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.