Individual provider Active NPI

Ejiroghene Tejere, M.D.

  • Family Medicine Physician
  • Alma, MI
National Provider Identifier
1386576080
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4351056487 Issued in MI
Practice address
330 E. Warwick Dr
Alma, MI 48801
Phone
(989) 629-8140
Fax
(989) 629-8145
NPI assigned
May 29, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4351056487 MI Primary

Addresses

Primary practice location

330 E. Warwick Dr
Alma, MI 48801

Mailing address

330 E. Warwick Dr
Alma, MI 48801
Phone (989) 629-8140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4351056487MIMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1386576080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E. WARWICK DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "48801",
            "telephone_number": "989-629-8140",
            "fax_number": "989-629-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E. WARWICK DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "48801",
            "telephone_number": "989-629-8140",
            "fax_number": "989-629-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJERE",
        "first_name": "EJIROGHENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351056487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.