Active NPI
Awoniyi O Awonuga, MD
- Obstetrics & Gynecology Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301089357
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 228734-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Fertility Services PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| University Physician Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Mid Michigan Fertility Care | Current | Accepting new patients | |
| Henry Ford Health System | Obstetrics & Gynecology | Current | Accepting new patients |
| Henry Ford Pathology | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| Henry Ford Health System | Current | 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
- aawonuga@direct.dmc.org
- 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.
-
- Obstetrics & Gynecology Physician
- Southfield, MI
- NPI 1134009707
-
dba Wayne Health
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Detroit, MI
- NPI 1790856235
-
- Medical Specialty Clinic/Center
- Lansing, MI
- NPI 1639496771
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
dba Wayne State University Physician Group
- Occupational Therapist
- Dearborn, MI
- NPI 1851630206
-
dba Wayne State University Physician Group
- Social Worker
- Livonia, MI
- NPI 1154360402
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Specialist
- Brooklyn, NY
- NPI 1679570766
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.