NPIMap

Organization Active NPI

County of Ingham

Doing business as Willow Ichd

  • Medical Specialty Clinic/Center
  • Lansing, MI
National Provider Identifier
1427426402
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
COUNTY OF INGHAM
Doing business as
Willow Ichd
Willow Community ICHD
Practice address
1115 S Pennsylvania Ave
Lansing, MI 48912-1669
Phone
(517) 702-3500
Fax
(517) 484-5169
NPI assigned
Sep 9, 2015
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Adenike Tolulupe Shoyinka, MDNPI 1154634384
Title
Credentialing & Enrollment Coordina
Phone
(517) 887-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1115 S Pennsylvania Ave
Lansing, MI 48912-1669

Mailing address

PO Box 30161
Lansing, MI 48909-7661
Phone (517) 887-4383

Other names 2

  • WILLOW ICHD Doing business as
  • Willow Community ICHD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050126000527 MI Part B Supplier - Clinic/Group Practice 7810899622 Receives reassigned benefits from 40 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lansing, MI
O20050127000235 MI Part B Supplier - Clinic/Group Practice 7810899622 Receives reassigned benefits from 23 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lansing, MI

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Tax ID family
St Lawrence Hosp Radiol18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

2316 S Cedar St
Lansing, MI 48910
Phone (517) 702-4130

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1427426402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30161",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489097661",
            "telephone_number": "517-887-4383",
            "fax_number": "517-244-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S PENNSYLVANIA AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121669",
            "telephone_number": "517-702-3500",
            "fax_number": "517-484-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF INGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "SHOYINKA",
        "authorized_official_first_name": "ADENIKE",
        "authorized_official_middle_name": "TOLULUPE",
        "authorized_official_title_or_position": "CREDENTIALING & ENROLLMENT COORDINA",
        "authorized_official_telephone_number": "517-887-4466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLOW ICHD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willow Community ICHD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.