Individual provider Active NPI

Humphrey Odei Atiemo, MD

  • Urology Physician
  • Wyandotte, MI
National Provider Identifier
1245293299
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301089596 Issued in MI
Practice address
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone
(734) 246-6000
NPI assigned
Apr 10, 2006
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35.086325 OH
Urology Physician 208800000X 4301089596 MI Primary
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 4301089596 MI
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 35.086325 OH

Addresses

Primary practice location

2333 Biddle Ave
Wyandotte, MI 48192-4668

Mailing address

PO Box 670884
Detroit, MI 48267-0884
Phone (800) 999-5829

Other practice location 1

214 E Elm Ave Ste 101
Monroe, MI 48162-2678
Phone (734) 243-9620

Other practice location 2

2120 W Central Ave
Toledo, OH 43606-3834
Phone (419) 531-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050620001026 OH Practitioner - Urology 3072558196 Reassigns benefits to 1 organization
I20070924000019 MI Practitioner - Urology 3072558196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Maryland School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Genito-Urinary Surgeons LLCGroup PAC ID 3971757238, 19 clinicians

Practice addresses (Care Compare)

2120 W Central Ave
Toledo, OH 43606-3834
Phone (419) 531-8558

905 N Macomb St
5 Promedica Genito Urinary LLC
Monroe, MI 48161-3076
Phone (734) 243-9620

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.086325OHMDFemale Pelvic Medicine and Reconstructive Surgery (Urology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital Urology CurrentSince Jun 30, 2020 Accepting new patients
Promedica Genito-Urinary Surgeons LLC Urology CurrentSince Jul 19, 2023 Accepting new patients
W.a. Foote Memorial Hospital CurrentSince Jun 30, 2020 Accepting new patients
W. a. Foote Memorial Hospital Current Accepting new patients
Henry Ford Pathology Current Accepting new patients
Genito Urinary Surgeons, Inc Past Accepting new patients

Locations

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2373

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-4316

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

2799 W Grand Blvd
#K9
Detroit, MI 48202
Phone (313) 916-2062

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

214 E Elm Ave
Ste 101
Monroe, MI 48162
Phone (734) 243-9620

905 N Macomb St
Ste 5
Monroe, MI 48162
Phone (734) 243-9620

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

1250 Ralston Ave
Ste 203
Defiance, OH 43512
Phone (419) 783-6915

501 Van Buren St
Ste 203
Fostoria, OH 44830
Phone (419) 435-4950

605 3rd Ave
Ste B
Fremont, OH 43420
Phone (419) 334-3879

2751 Bay Park Dr
Ste 303
Oregon, OH 43616
Phone (419) 690-7676

5180 Chappel Dr
Ste 4B5B
Perrysburg, OH 43551

2120 W Central Ave
Toledo, OH 43606
Phone (419) 531-8558

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

Interoperability endpoints

  • Direct secure messaging: hatiemo14807@direct.hfhs.org
  • Direct secure messaging: hatiemo21200@direct.promedica.org

Organizations & group practices 6

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

Hospital & facility affiliations 7

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1245293299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670884",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670884",
            "telephone_number": "800-999-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924668",
            "telephone_number": "734-246-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 E Elm Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481622678",
            "country_code": "US",
            "telephone_number": "734-243-9620",
            "fax_number": "734-243-3565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063834",
            "country_code": "US",
            "telephone_number": "419-531-8558",
            "fax_number": "419-531-8798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATIEMO",
        "first_name": "HUMPHREY",
        "middle_name": "ODEI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.086325",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301089596",
            "primary": true
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MI",
            "license": "4301089596",
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "OH",
            "license": "35.086325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.