OMOTARA KUFEJI CRNA
NPI 1013490770
Nurse Anesthetist, Certified Registered in Detroit, MI

Q: 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.

Q: What is Omotara Kufeji's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: 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.

Active since September 10, 2018Accepts Medicare Assignment

77.85/100

CMS Quality Rating

22101 MOROSS RD, DETROIT, MI 48236(313) 343-7075 Get Directions Write a Review

NPPES record last updated: February 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2019, Sep 10, 2018 (2 updates tracked since 2018).

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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 affiliated with Umass Memorial Medical Center/university Campus and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013490770

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameOMOTARA KUFEJICredential: CRNA

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address25002 Riema StTaylor, MI 48180-7975 · (313) 244-4161

Phone(313) 343-7075

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 10, 2018

Last NPPES UpdateFebruary 7, 20192 updates tracked since enumeration

✔ NPI 1013490770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MI · 4704287651

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704287651 (MI)

22101 MOROSS RD, Detroit, MI 48236

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID42558900

PECOS Enrollment IDI20240806001992, I20260210004125

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, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340091

Location1200 N Elm StGreensboro, NC 27401 · Guilford County

Emergency services Birthing friendly

Physician 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.

New Patient

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

77.85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.5

Improvement Activities

Cost

75.07

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.

MARY DECAROLIS LMSW, ACSW

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