Individual provider Active NPI

Angela C Eke-Usim, MD, MPH

  • Psychiatry Physician
  • Detroit, MI
National Provider Identifier
1528709706
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301510437 Issued in MI
Practice address
3031 W Grand Blvd Ste 600
Detroit, MI 48202-3014
Phone
(313) 346-5235
NPI assigned
Apr 5, 2022
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301510437 MI Primary

Addresses

Primary practice location

3031 W Grand Blvd Ste 600
Detroit, MI 48202-3014

Mailing address

3031 W Grand Blvd Ste 600
Detroit, MI 48202-3014
Phone (313) 346-5235

Other practice location 1

8315 N Wayne Rd
Westland, MI 48185-1351
Phone (734) 644-2360

Other practice location 2

707 W Milwaukee St
Detroit, MI 48202-2943
Phone (734) 644-2360

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
I20241119003713 MI Practitioner - Psychiatry 9335674936 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301510437MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hegira Health, Inc Psychiatry CurrentSince Sep 2, 2024 Accepting new patients
Hegira Health, Inc. CurrentSince Sep 2, 2024 Accepting new patients

Locations

37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611

8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469

8623 N Wayne Rd
Ste 310
Westland, MI 48185
Phone (734) 513-7598

Organizations & group practices 2

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1528709706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 W GRAND BLVD STE 600",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023014",
            "telephone_number": "313-346-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W GRAND BLVD STE 600",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023014",
            "telephone_number": "313-346-5235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8315 N Wayne Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481851351",
            "country_code": "US",
            "telephone_number": "734-644-2360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 W Milwaukee St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022943",
            "country_code": "US",
            "telephone_number": "734-644-2360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKE-USIM",
        "first_name": "ANGELA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301510437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.