NPIMap

Individual provider Active NPI

Martin Ugochukwu Egenti, MD

  • Internal Medicine Physician
  • Owosso, MI
National Provider Identifier
1871741694
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301101807 Issued in MI
Practice address
826 W King St
Owosso, MI 48867-2120
Phone
(899) 723-5211
NPI assigned
Sep 4, 2008
Last updated
May 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0116020489 VA
Internal Medicine Physician 207R00000X 4301101807 MI Primary

Addresses

Primary practice location

826 W King St
Owosso, MI 48867-2120

Mailing address

4842 Washtenaw Avenue
Apt C1
Ann Arbor, MI 48108
Phone (202) 487-7419

Other identifiers 1

IdentifierTypeStateIssuer
12614228OtherMICAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131018000629 MI Practitioner - General SurgeryPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4284868654 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Howard University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

826 W King St
Memorial Medical Associates
Owosso, MI 48867-2120
Phone (989) 723-5211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116020489VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Michigan, PLLC Internal Medicine CurrentSince Jun 29, 2019 Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC Internal Medicine CurrentSince Jun 29, 2019 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine Current Accepting new patients
Memorial Hospital Internal Medicine Current Accepting new patients
Memorial Hospital Surgery CurrentSince Jun 18, 2019 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Memorial Hospital CurrentSince Jun 18, 2019 Accepting new patients
Comprehensive Hospital Care P C Internal Medicine CurrentSince Apr 1, 2014 Accepting new patients
Memorial Hospital Past Accepting new patients
Adrian Urgent Care PLLC PastSince Jul 1, 2016 Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 Accepting new patients

Locations

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

23300 Ecorse Rd
Taylor, MI 48180
Phone (313) 291-9500

Organizations & group practices 12

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 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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1871741694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4842 WASHTENAW AVENUE",
            "address_2": "APT C1",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "202-487-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W KING ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672120",
            "telephone_number": "899-723-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGENTI",
        "first_name": "MARTIN",
        "middle_name": "UGOCHUKWU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0116020489",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301101807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12614228",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.