Active NPI
Oluchi Chinyere Opara, MD
- Internal Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301086370
- Practice address
- 28411 Northwestern Hwy
Suite 1050
Southfield, MI 48034-5544 - Phone
- (248) 358-4892
- Fax
- (248) 354-4807
- NPI assigned
- Apr 9, 2007
- Last updated
- Nov 3, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301086370 | MI | Primary |
Addresses
Primary practice location
28411 Northwestern Hwy
Suite 1050
Southfield, MI 48034-5544
Mailing address
PO Box 674147
Detroit, MI 48267-4147
Phone (248) 354-4709
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346398971 | Other | MI | GRP NPI |
| 110F336360 | Other | MI | BCBSM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | oopara11956@epicdirect.promedica.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
905 N Macomb St
Monroe, MI 48162-3075
Phone (734) 243-9620
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301086370 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Corporation of Michigan | Internal Medicine | Current | Accepting new patients |
| Macomb Internists PC | Internal Medicine | Past | Accepting new patients |
| Mercy Memorial Hospital Corporatio | Past | Accepting new patients |
Locations
3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
500 E Pottawatamie St
Tecumseh, MI 49286
Phone (517) 266-0525
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1588624696
Internal Medicine
-
dba Promedica Monroe Regional Hospital
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Promedica Monroe Regional Hospital
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
-
dba Monroe Cancer Center
- Specialist
- Monroe, MI
- NPI 1376997551
Hospital
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1396868659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 674147",
"city": "DETROIT",
"state": "MI",
"postal_code": "482674147",
"telephone_number": "248-354-4709",
"fax_number": "248-354-4807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28411 NORTHWESTERN HWY",
"address_2": "SUITE 1050",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480345544",
"telephone_number": "248-358-4892",
"fax_number": "248-354-4807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPARA",
"first_name": "OLUCHI",
"middle_name": "CHINYERE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301086370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP NPI",
"identifier": "1346398971",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "110F336360",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oopara11956@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.