Active NPI
Joshua Esinwoke Nnanji, MD
- Psychiatry Physician
- Mason, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301091517
- Practice address
- 585 Jewett Rd
Mason, MI 48854-8729 - Phone
- (517) 676-5405
- Fax
- (517) 676-5460
- NPI assigned
- Jun 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301091517 | MI | Primary |
Addresses
Primary practice location
585 Jewett Rd
Mason, MI 48854-8729
Mailing address
3801 Winchell Ave
Apt G106
Kalamazoo, MI 49008-2038
Phone (319) 217-2566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064004 | Medicaid | IA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101123000866 | MI | Practitioner - Psychiatry | 6507909710 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Pointe | Psychiatry | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Medical Center | Psychiatry | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Healthsource Saginaw Inc | Current | Accepting new patients | |
| Alternative Community Living, Inc. | Past | Accepting new patients | |
| State of Michigan Office of Financial Management | Past | Accepting new patients |
Locations
8472 Reliable Pkwy
Chicago, IL 60686
175 College St
Battle Creek, MI 49037
Phone (269) 966-1460
3630 Capital Ave SW
Ste 1
Battle Creek, MI 49015
Phone (269) 979-8333
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
1085 S Linden Rd
Ste 150
Flint, MI 48532
Phone (810) 262-2100
3340 Hospital Rd
Saginaw, MI 48603
Phone (989) 790-7700
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/saginaw-e4d72067
Organizations & group practices 7
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.
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saginaw, MI
- NPI 1487008652
-
- Psychiatric Hospital
- Caro, MI
- NPI 1194767996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297382400000",
"number": "1821291550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 WINCHELL AVE",
"address_2": "APT G106",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082038",
"telephone_number": "319-217-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 JEWETT RD",
"city": "MASON",
"state": "MI",
"postal_code": "488548729",
"telephone_number": "517-676-5405",
"fax_number": "517-676-5460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NNANJI",
"first_name": "JOSHUA",
"middle_name": "ESINWOKE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2011-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301091517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064004",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mason, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.