Ngumimi Peace Kpughur-Tule, M.D

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

44405 Woodward Avenue, Trinity Health Oakland
Graduate Medical Education Dept.
Pontiac, MI 48341

Phone

(248) 858-6233

Fax

(248) 858-3244

NPI assigned

May 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1811737000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVENUE, TRINITY HEALTH OAKLAND",
            "address_2": "GRADUATE MEDICAL EDUCATION DEPT.",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-858-6233",
            "fax_number": "248-858-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVENUE, TRINITY HEALTH OAKLAND",
            "address_2": "GRADUATE MEDICAL EDUCATION DEPT.",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-858-6233",
            "fax_number": "248-858-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KPUGHUR-TULE",
        "first_name": "NGUMIMI",
        "middle_name": "PEACE",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20240625908862",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Michelle Kossman, MSW
• Tina Kosten
• Nikhil Kumar Kotla, MD
• Taryn Reeve Koury, LLMSW
• Monica Kovach, LLPC
• Heidi Kraft
• Jeremy L. Kramer, D.O.
• Judith Marie Krause
• Theresa Krell
• Megan Krings

• Student in an Organized Health Care Education/Training Program in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.