Active NPI
Omotola Michael Adesina, M.D.
- Family Medicine Physician
- Lansing, MI
National Provider Identifier
1275217622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4351050593
- Practice address
- Sparrow Health Systems 1215 E Michigan Ave
Lansing, MI 18912 - Phone
- (517) 364-5710
- NPI assigned
- Jun 14, 2023
- Last updated
- Dec 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4351050593 | MI | Primary |
Addresses
Primary practice location
Sparrow Health Systems 1215 E Michigan Ave
Lansing, MI 18912
Mailing address
1200 E Michigan Ave
Suite 245
Lansing, MI 48912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351050593 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1275217622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E MICHIGAN AVE",
"address_2": "SUITE 245",
"city": "LANSING",
"state": "MI",
"postal_code": "48912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SPARROW HEALTH SYSTEMS 1215 E MICHIGAN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "18912",
"telephone_number": "517-364-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADESINA",
"first_name": "OMOTOLA",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-14",
"last_updated": "2023-12-15",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4351050593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.