Individual provider Active NPI

Ganiu Abimbola Edu, M.D

  • Anesthesiology Physician
  • Southfield, MI
National Provider Identifier
1730260423
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301099612 Issued in MI
Practice address
20252 Beechaven St
Southfield, MI 48076-1753
Phone
(313) 932-1350
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 4301099612 MI
Anesthesiology Physician 207L00000X 4301099612 MI Primary

Addresses

Primary practice location

20252 Beechaven St
Southfield, MI 48076-1753

Mailing address

PO Box 760421
Lathrup Village, MI 48076-0421
Phone (313) 832-1350

Other practice location 1

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Other names 1

  • Dr. Abimbola Ganiu Edu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY, GA, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20110902000274 MI Practitioner - AnesthesiologyPractitioner - Pain Management 9436273786 Reassigns benefits to 1 organization
I20240807001000 NY Practitioner - Anesthesiology 9436273786 Reassigns benefits to 1 organization
I20260326000330 GA Practitioner - Anesthesiology 9436273786 Reassigns benefits to 3 organizations
I20260409004112 TX Practitioner - Anesthesiology 9436273786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abbott Anesthesiologist Associates PCGroup PAC ID 5991784449, 18 clinicians

Practice addresses (Care Compare)

515 Abbott Rd
Suite 410
Buffalo, NY 14220-1700
Phone (716) 826-6628

Hospital & facility affiliations

  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abbott Anesthesiologist Associates PC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients

Locations

515 Abbott Rd
Ste 410
Buffalo, NY 14220
Phone (716) 826-6628

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1730260423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760421",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480760421",
            "telephone_number": "313-832-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20252 BEECHAVEN ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761753",
            "telephone_number": "313-932-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012102",
            "country_code": "US",
            "telephone_number": "478-633-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDU",
        "first_name": "GANIU",
        "middle_name": "ABIMBOLA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4301099612",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301099612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIMBOLA",
            "last_name": "EDU",
            "middle_name": "GANIU",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.