Active NPI
Esosa Uwaifo Ukponmwan, MD/MPH
- Nephrology Physician
- Lansing, MI
National Provider Identifier
1306428040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- E-20559
- Practice address
- 1215 E Michigan Ave # 510
Lansing, MI 48912-1896 - Phone
- (281) 223-2914
- NPI assigned
- Apr 22, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4351047876 | MI | |
| Nephrology Physician | 207RN0300X | E-20559 | AR | Primary |
Addresses
Primary practice location
1215 E Michigan Ave # 510
Lansing, MI 48912-1896
Mailing address
628 Hospital Dr Ste 1-a
Mountain Home, AR 72653-2946
Phone (870) 508-1950
Other practice location 1
628 Hospital Dr Ste 1-A
Mountain Home, AR 72653-2946
Phone (870) 508-1950
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Lansing |
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 |
|---|---|---|---|
| 4351047876 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1306428040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 HOSPITAL DR STE 1-A",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532946",
"telephone_number": "870-508-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E MICHIGAN AVE # 510",
"city": "LANSING",
"state": "MI",
"postal_code": "489121896",
"telephone_number": "281-223-2914"
}
],
"practiceLocations": [
{
"address_1": "628 Hospital Dr Ste 1-A",
"address_purpose": "LOCATION",
"city": "Mountain Home",
"state": "AR",
"postal_code": "726532946",
"country_code": "US",
"telephone_number": "870-508-1950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UKPONMWAN",
"first_name": "ESOSA",
"middle_name": "UWAIFO",
"name_prefix": "Dr.",
"credential": "MD/MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-22",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4351047876",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AR",
"license": "E-20559",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lansing",
"affiliation": "N",
"address_1": "1322 E Michigan Ave Ste 300",
"city": "Lansing",
"state": "MI",
"country_code": "US",
"postal_code": "489122109",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.