OMOTARA KUFEJI CRNA
NPI 1013490770
Nurse Anesthetist, Certified Registered in Detroit, MI
About Omotara Kufeji Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMOTARA KUFEJI CRNA (NPI 1013490770) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704287651) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Omotara Kufeji Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Omotara Kufeji reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- 132 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 209 clinicians in this Medicare group
Greensboro, NC 27403
- Reassigned Medicare billing, North Carolina enrollment
- 835 clinicians in this Medicare group
Oxford, MA 01540
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAMoses H. Cone Memorial Hospital, The
Acute Care Hospitals · Greensboro, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48236
DETROIT, MI 48236
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Omotara Kufeji's NPI number?
The NPI number for Omotara Kufeji is 1013490770. It was assigned to this individual provider in the NPPES registry on September 10, 2018.
Where is Omotara Kufeji located?
Omotara Kufeji practices at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (313) 343-7075.
What is Omotara Kufeji's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Omotara Kufeji enrolled in Medicare?
Yes. Omotara Kufeji is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Omotara Kufeji's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Omotara Kufeji reassigns Medicare benefits to 4 organizations: Henry Ford Health St. John Hospital (Detroit, MI), Psj Anesthesia PC (Southfield, MI), The Moses H. Cone Memorial Hospital Operating Corporation (Greensboro, NC) and Umass Memorial Medical Group, Inc. (Oxford, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Omotara Kufeji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Omotara Kufeji affiliated with any hospitals?
According to CMS data, Omotara Kufeji is affiliated with Umass Memorial Medical Center/University Campus and Moses H. Cone Memorial Hospital, The.
When was this NPI record last updated?
The NPPES record for Omotara Kufeji was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Omotara Kufeji, CRNA · NPI 1013490770
Nurse Anesthetist, Certified Registered physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since September 10, 2018.
## Identity
- **NPI:** 1013490770 (Entity type: Individual)
- **Enumerated:** September 10, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704287651 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 22101 MOROSS RD, Detroit, MI 48236-2148
- **Phone:** (313) 343-7075
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health St. John Hospital (NPI 1598896995, Detroit, MI); Psj Anesthesia PC (NPI 1275905796, Southfield, MI); The Moses H. Cone Memorial Hospital Operating Corporation (NPI 1013265909, Greensboro, NC); Umass Memorial Medical Group, Inc. (NPI 1982381018, Oxford, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1013490770) · Data from the CMS NPPES public registry.