NPIMap

Individual provider Active NPI

Owolabi Ogunneye, M.D.FRCP(UK)

  • Nephrology Physician
  • Flint, MI
National Provider Identifier
1992011472
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301106601 Issued in MI
Practice address
2486 Nerredia St E
Flint, MI 48532-4807
Phone
(810) 230-9901
Fax
(810) 230-9916
NPI assigned
Aug 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4301106601 MI Primary

Addresses

Primary practice location

2486 Nerredia St E
Flint, MI 48532-4807

Mailing address

2486 Nerredia St E
Flint, MI 48532-4807
Phone (810) 230-9901

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
I20150811005358 MI Practitioner - Nephrology 0941432827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Disease and Hypertension Consultants PCGroup PAC ID 0446251623, 8 clinicians

Practice addresses (Care Compare)

2486 Nerredia St
Suite E
Flint, MI 48532-4807
Phone (810) 230-9901

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Disease & Hypertension Consultants PC Nephrology CurrentSince Jul 10, 2015 Accepting new patients

Locations

401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141

2486 Nerredia St
Ste E
Flint, MI 48532
Phone (313) 800-8230

800 Cooper Ave
Ste 2
Saginaw, MI 48602

1320 N Michigan Ave
Ste 7
Saginaw, MI 48602
Phone (989) 583-2720

L 3677
Columbus, OH 43260

Interoperability endpoints

  • Direct secure messaging: oogunneye40567@direct.covenanthealthcare.com
  • Direct secure messaging: oogunneye1143316@direct.hfhs.org

Organizations & group practices 1

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1992011472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 NERREDIA ST E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324807",
            "telephone_number": "810-230-9901",
            "fax_number": "810-230-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 NERREDIA ST E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324807",
            "telephone_number": "810-230-9901",
            "fax_number": "810-230-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNNEYE",
        "first_name": "OWOLABI",
        "name_prefix": "Dr.",
        "credential": "M.D.FRCP(UK)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-23",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301106601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.