Individual provider Active NPI

Omosalewa Itauma, M.D.

  • Obstetrics & Gynecology Physician
  • Midland, MI
National Provider Identifier
1891922613
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301098768 Issued in MI
Practice address
4401 Campus Ridge Dr Ste Ll110
Midland, MI 48640-6126
Phone
(989) 837-9400
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301098768 MI Primary

Addresses

Primary practice location

4401 Campus Ridge Dr Ste Ll110
Midland, MI 48640-6126

Mailing address

3956 Mount Elliott St
Detroit, MI 48207-1841
Phone (313) 925-4540

Other practice location 1

3175 Professional Ct
Bay City, MI 48706-2823
Phone (989) 667-3377

Other practice location 2

3956 Mount Elliott St
Detroit, MI 48207-1841
Phone (313) 925-4540

Other names 1

  • Dr. Omosalewa Fiyinfoluwa Akinyemi Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address omosalewa.itauma@direct.medfusion.com

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
I20150727000466 MI Practitioner - Obstetrics/Gynecology 7618280298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

4401 Campus Ridge Dr
Suite Ll110
Midland, MI 48640-6126
Phone (989) 837-9400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301098768MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Sep 8, 2022 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Aug 3, 2020 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Sep 8, 2022 Accepting new patients
Great Lakes Bay Health Centers Obstetrics & Gynecology CurrentSince Aug 3, 2020 Accepting new patients
Mymichigan Medical Center Midland Past Accepting new patients
Allara Medical Group PA Obstetrics & Gynecology Past Accepting new patients

Locations

3175 Professional Ct
Bay City, MI 48706
Phone (989) 667-3377

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

4401 N Campus Ridge Dr
Ste LL110
Midland, MI 48640
Phone (989) 837-9400

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

Interoperability endpoints

  • Direct secure messaging: oitauma128612@mymichiganhealth.midirect.net
  • Direct secure messaging: ososalewa.itauma@dchc.directbygreenway.com

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 4

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1891922613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3956 MOUNT ELLIOTT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071841",
            "telephone_number": "313-925-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 CAMPUS RIDGE DR STE LL110",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406126",
            "telephone_number": "989-837-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3175 Professional Ct",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487062823",
            "country_code": "US",
            "telephone_number": "989-667-3377",
            "fax_number": "989-667-9991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3956 Mount Elliott St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482071841",
            "country_code": "US",
            "telephone_number": "313-925-4540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITAUMA",
        "first_name": "OMOSALEWA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301098768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "omosalewa.itauma@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "3175 Professional Ct",
            "city": "Bay City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487062823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "OMOSALEWA",
            "last_name": "AKINYEMI",
            "middle_name": "FIYINFOLUWA",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.