Individual provider Active NPI

Akintayo Razaq Sokunbi, MD

  • Pulmonary Disease Physician
  • Midland, MI
National Provider Identifier
1164694337
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301086213 Issued in MI
Practice address
4201 Campus Ridge Drive
Midland, MI 48640
Phone
(989) 488-5450
Fax
(989) 488-5455
NPI assigned
Mar 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301086213 MI
Pulmonary Disease Physician 207RP1001X 4301086213 MI Primary

Addresses

Primary practice location

4201 Campus Ridge Drive
Midland, MI 48640

Mailing address

4201 Campus Ridge Drive
Midland, MI 48640
Phone (989) 488-5450

Other identifiers 5

IdentifierTypeStateIssuer
AS086213OtherMILICENSE
205485614OtherMITAX ID
1346398971OtherMIGRP NPI
5359830MedicaidMI
110F336360OtherMIBCBSM

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140612000455 MI Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7113085507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

1501 W Chisholm St
Alpena, MI 49707-1401
Phone (989) 356-7000

2463 S M
Suite 30
West Branch, MI 48661-9312
Phone (989) 345-3660

300 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 463-1101

320 E Warwick Dr
Wound Treatment Center
Alma, MI 48801-1014
Phone (989) 466-7020

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-8018

4100 Campus Ridge Dr
Midland, MI 48640-6139
Phone (989) 839-3060

4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250

500 Osborn Blvd
Sault S Marie, MI 49783-1822
Phone (989) 839-3385

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030
  • Mymichigan Medical Center Gladwin Hospital, Gladwin, MI, CCN 231325
  • Mymichigan Medical Center West Branch Hospital, West Branch, MI, CCN 230095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed Internal Medicine Current Accepting new patients
Ascension Medical Group Promed Internal Medicine CurrentSince Oct 22, 2017 Accepting new patients
Mymichigan Medical Center Midland CurrentSince May 1, 2015 Accepting new patients
Promed Healthcare CurrentSince Oct 22, 2017 Accepting new patients
Mymichigan Medical Center Midland CurrentSince May 1, 2015 Accepting new patients
Mymichigan Medical Center Midland Past Accepting new patients
Academic Internal Medicine Specialists PLLC Internal Medicine PastSince Jul 1, 2010 Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

4201 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4100 Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Interoperability endpoints

  • Direct secure messaging: asokunbi6956@mymichiganhealth.midirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1164694337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CAMPUS RIDGE DRIVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "48640",
            "telephone_number": "989-488-5450",
            "fax_number": "989-488-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CAMPUS RIDGE DRIVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "48640",
            "telephone_number": "989-488-5450",
            "fax_number": "989-488-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKUNBI",
        "first_name": "AKINTAYO",
        "middle_name": "RAZAQ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301086213",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301086213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AS086213",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "205485614",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI",
            "identifier": "1346398971",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5359830",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "110F336360",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.