Rekiyatu Lawal Ugboajah, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

39120 Issued in MN

Practice address

715 Delmore Dr
Roseau, MN 56751-1599

Phone

(218) 463-2500

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rekiyatu Ohunene Lawal Professional name

Medicare fee-for-service enrollment

Enrolled in MN

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lifecare Medical Center

  • Critical Access Hospital
  • Roseau, MN
  • NPI 1609861095

  MN

  Medicare reassignment NPD
• Lifecare Medical Center

  • Rural Health Clinic/Center
  • Warroad, MN
  • NPI 1619724077
  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1144243247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 MISTY SHORE LN",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607744",
            "telephone_number": "612-396-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DELMORE DR",
            "city": "ROSEAU",
            "state": "MN",
            "postal_code": "567511599",
            "telephone_number": "218-463-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2820 Misty Shore Ln",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786607744",
            "country_code": "US",
            "telephone_number": "612-396-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGBOAJAH",
        "first_name": "REKIYATU",
        "middle_name": "LAWAL",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "39120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REKIYATU",
            "last_name": "LAWAL",
            "middle_name": "OHUNENE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Lynn Simmons, MD
• Stephen Michael Speltz, MD
• Anna Stein, PSY.D., LP
• Clyde Richard Stephens, PAC
• Nghi Trinh-Pham, D.D.S.
• Bryon D Vandewege, MD
• Lorris Galen Vatnsdal II
• Peter Lloyd Vatnsdal, O.D.
• Amber L Wibbels, DPM
• Kaci Laine Wilmer, MOTR/L

• All providers in Roseau, MN
• Emergency Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.