Individual provider Active NPI

Abayomi Adekunle Abimbola, M.D

  • Family Medicine Physician
  • Alma, MI
National Provider Identifier
1851828073
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301501203 Issued in MI
Practice address
1910 Pine Ave
Alma, MI 48801-1298
Phone
(248) 250-0714
NPI assigned
May 18, 2017
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) Physician 207QB0002X 4301501203 MI
Family Medicine Physician 207Q00000X 4301501203 MI Primary

Addresses

Primary practice location

1910 Pine Ave
Alma, MI 48801-1298

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-0000

Other practice location 1

1961 S Telegraph Rd
Bloomfield Hills, MI 48302-0246
Phone (248) 319-6210

Other practice location 2

DMC/WSU(Sinai Grace) Family Medicine Residency, Advanta
15400 W McNichols Road
Detroit, MI 48235
Phone (313) 416-6262

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
I20200702000693 MI Practitioner - Family Practice 4688943368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608

6530 Farmington Rd
West Bloomfield, MI 48322-3216
Phone (248) 661-8240

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301501203MIMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Henry Ford Health System CurrentSince Sep 1, 2025 Accepting new patients
Henr Y Ford Health System Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

1910 Pine Ave
Alma, MI 48801
Phone (989) 463-3101

1961 S Telegraph Rd
Bloomfield Township, MI 48302
Phone (248) 319-6190

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

Interoperability endpoints

  • Direct secure messaging: aabimbola96056@mymichiganhealth.midirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1851828073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 PINE AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011298",
            "telephone_number": "248-250-0714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1961 S Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483020246",
            "country_code": "US",
            "telephone_number": "248-319-6210",
            "fax_number": "248-607-6362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "DMC/WSU(Sinai Grace) Family Medicine Residency, Advanta",
            "address_2": "15400 W McNichols Road",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48235",
            "country_code": "US",
            "telephone_number": "313-416-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABIMBOLA",
        "first_name": "ABAYOMI",
        "middle_name": "ADEKUNLE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "MI",
            "license": "4301501203",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301501203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.