Individual provider Active NPI

Awoniyi O Awonuga, MD

  • Obstetrics & Gynecology Physician
  • Southfield, MI
National Provider Identifier
1437156064
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301089357 Issued in MI
Practice address
26400 W 12 Mile Rd
Ste 140
Southfield, MI 48034-1753
Phone
(248) 352-8200
Fax
(248) 356-8255
NPI assigned
Jun 28, 2005
Last updated
Mar 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 228734-1 NY
Obstetrics & Gynecology Physician 207V00000X 4301089357 MI Primary
Reproductive Endocrinology Physician 207VE0102X 4301089357 MI

Addresses

Primary practice location

26400 W 12 Mile Rd
Ste 140
Southfield, MI 48034-1753

Mailing address

1560 E Maple Road
Suite 400-Credentialing
Troy, MI 48083-1189
Phone (248) 581-5970

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000332 MI Practitioner - EndocrinologyPractitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 8325944093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Obstetrics/Gynecology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

26400 W 12 Mile Rd
Suite 140
Southfield, MI 48034-1753
Phone (248) 352-8200

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-4380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228734-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Fertility Services PLLC Obstetrics & Gynecology CurrentSince Feb 1, 2026 Accepting new patients
University Physician Group Obstetrics & Gynecology CurrentSince Sep 15, 2010 Accepting new patients
Mid Michigan Fertility Care Current Accepting new patients
Henry Ford Health System Obstetrics & Gynecology CurrentSince Nov 1, 2018 Accepting new patients
Henry Ford Pathology Current Accepting new patients
University Physician Group CurrentSince Sep 15, 2010 Accepting new patients
Henry Ford Health System CurrentSince Nov 1, 2018 Accepting new patients
University Physician Group Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
MMC OB/GYN Hospital Specialist Past Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-4316

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

3990 John R St
Ste 4240
Detroit, MI 48201
Phone (248) 556-6428

400 Mack Ave
Ste 2
Detroit, MI 48201
Phone (313) 448-9006

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4201 Saint Antoine St
Ste 4C
Detroit, MI 48201
Phone (313) 993-8645

26400 W 12 Mile Rd
Southfield, MI 48034
Phone (248) 352-8200

26400 W 12 Mile Rd
Ste 140
Southfield, MI 48034
Phone (248) 352-8200

29255 Northwestern Hwy
Ste 202
Southfield, MI 48034
Phone (248) 772-9730

1560 E Maple Rd
Ste 400
Troy, MI 48083

Interoperability endpoints

  • Direct secure messaging: aawonuga@direct.dmc.org
  • Direct secure messaging: awoniyi.awonuga.1@19711.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1437156064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE ROAD",
            "address_2": "SUITE 400-CREDENTIALING",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831189",
            "telephone_number": "248-581-5970",
            "fax_number": "248-581-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 W 12 MILE RD",
            "address_2": "STE 140",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341753",
            "telephone_number": "248-352-8200",
            "fax_number": "248-356-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWONUGA",
        "first_name": "AWONIYI",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "228734-1",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301089357",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MI",
            "license": "4301089357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.