Theophilus Osayi Ulinfun, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TU010840 Issued in MI

Practice address

752 Southfield Rd
Lincoln Park, MI 48146-2610

Phone

(313) 388-1400

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialty

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tulinfun61751@direct.hfhs.org

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.

• Metro Urgent Care & Family Medical Center PC

  • Family Medicine Physician
  • Lincoln Park, MI
  • NPI 1740450303
  Medicare reassignment NPD Authorized official
• Metro Urgent Care

  • Family Medicine Physician
  • Lincoln Park, MI
  • NPI 1588850424
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Wyandotte Hospital

  • Ambulatory Surgical Clinic/Center
  • Wyandotte, MI
  • NPI 1093901035

  Hospital

  Care Compare affiliation
• Henry Ford Wyandotte Hospital

  • General Acute Care Hospital
  • Wyandotte, MI
  • NPI 1992725352
  Care Compare affiliation

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1043281272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 SOUTHFIELD RD",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462610",
            "telephone_number": "313-388-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 SOUTHFIELD RD",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462610",
            "telephone_number": "313-388-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULINFUN",
        "first_name": "THEOPHILUS",
        "middle_name": "OSAYI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "TU010840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Treado, DO
• Tri County Rehab and Pain Managemenet LLC
• Latonya Renay Triplett, LPN
• David Lawrence Ulch, MSW
• Nkechi Kalu Ulinfun, FNP-C
• Steven James Vandermay
• Hannah Marie Vanderwalker, L.L.M.S.W.
• Lauren Christine Ventura, RPH
• Verified Provider Services PLLC
• Vibra of Southeastern Michigan LLC

• Family Medicine Physician in Lincoln Park, MI
• Providers in Lincoln Park, 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 Mar 25, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.