MRS. TIA DOMINIQUE AGBORUCHE
NPI 1013687029
Nurse Anesthetist, Certified Registered in Detroit, MI

Q: What is Tia Agboruche's NPI number?

The NPI number for Tia Agboruche is 1013687029. It was assigned to this individual provider in the NPPES registry on September 20, 2021. The provider is also known as Tia Dominique Sharp.

Q: What is Tia Agboruche'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 Tia Agboruche was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 20, 2021Accepts Medicare Assignment

86.01/100

CMS Quality Rating

20418 BINDER ST, DETROIT, MI 48234(313) 333-4038 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2024, Sep 20, 2021 (2 updates tracked since 2021).

On this page

About Mrs. Tia Dominique Agboruche NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TIA DOMINIQUE AGBORUCHE (NPI 1013687029) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704311021) and active in the NPI registry since September 2021. She is affiliated with Ascension Genesys Hospital, maintains a secondary practice location in Columbus, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013687029

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMRS. TIA DOMINIQUE AGBORUCHE

Location Address20418 BINDER STDetroit, MI 48234-1913

Mailing Address20418 Binder StDetroit, MI 48234-1913 · (313) 333-4038

Phone(313) 333-4038

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 20, 2021

Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1013687029 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

Licenses✔ Licensed in MI · 4704311021✔ Licensed in OH · APRN.CRNA.0021121

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 4704311021 (MI)

20418 BINDER ST, Detroit, MI 48234

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Other Names 1

Former Name (1)Tia Dominique Sharp

Secondary Practice Location 1

Location 1410 W 10th Ave Fl 1Columbus, OH 43210-1240 · Phone (614) 293-8487 · Fax (614) 293-8153

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

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

Mrs. Tia Dominique Agboruche 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 ID5799170007

PECOS Enrollment IDI20220324000403, I20241108001928

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Genesys Hospital

Acute Care Hospitals · Grand Blanc, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230197

LocationOne Genesys ParkwayGrand Blanc, MI 48439 · Genesee County

Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360112

Location2213 Cherry StreetToledo, OH 43608 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48234 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.

86.01/100

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

Scored as part of a group practice

Quality

79.29

Improvement Activities

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 Tia Agboruche's NPI number?

The NPI number for Tia Agboruche is 1013687029. It was assigned to this individual provider in the NPPES registry on September 20, 2021. The provider is also known as Tia Dominique Sharp.

Where is Tia Agboruche located?

Tia Agboruche practices at 20418 Binder St, Detroit, MI 48234. The listed phone number is (313) 333-4038.

What is Tia Agboruche's specialty?

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

Is Tia Agboruche enrolled in Medicare?

Yes. Tia Agboruche 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.

What insurance does Tia Agboruche accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Tia Agboruche as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tia Agboruche affiliated with any hospitals?

According to CMS data, Tia Agboruche is affiliated with Ascension Genesys Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Tia Agboruche was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.