Organization Active NPI

Violet Onkoba DO PLLC

  • Trauma Surgery Physician
  • Southfield, MI
National Provider Identifier
1427660489
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
VIOLET ONKOBA DO PLLC
Practice address
27209 Lahser Rd Ste 128
Southfield, MI 48034-8402
Phone
(248) 313-2829
Fax
(248) 988-4263
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Arliene Koch
Title
Billing
Phone
(866) 403-8476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0127X Primary

Addresses

Primary practice location

27209 Lahser Rd Ste 128
Southfield, MI 48034-8402

Mailing address

27209 Lahser Rd Ste 128
Southfield, MI 48034-8402
Phone (248) 313-2829

Other identifiers 1

IdentifierTypeStateIssuer
5101018299OtherMISTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210113000520 MI Part B Supplier - Clinic/Group Practice 0244643260 Receives reassigned benefits from 1 practitioner
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1427660489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27209 LAHSER RD STE 128",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348402",
            "telephone_number": "248-313-2829",
            "fax_number": "248-988-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27209 LAHSER RD STE 128",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348402",
            "telephone_number": "248-313-2829",
            "fax_number": "248-988-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOLET ONKOBA DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "ARLIENE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "866-403-8476"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5101018299",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "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 Aug 16, 2023; 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.