MRS. TIA DOMINIQUE AGBORUCHE
NPI 1013687029
Nurse Anesthetist, Certified Registered in Detroit, MI
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Tia Agboruche reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Blanc, MI 48439
- Reassigned Medicare billing, Michigan enrollment
- 154 clinicians in this Medicare group
Okemos, MI 48864
- Reassigned Medicare billing, Michigan enrollment
- 90 clinicians in this Medicare group
Batavia, OH 45103
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Southwest Ohio Anesthesia Consultants LLC
- 830 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 905 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Genesys Hospital
Acute Care Hospitals · Grand Blanc, MIPhysician 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.
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.
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.
Which organizations bill Medicare for Tia Agboruche's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tia Agboruche reassigns Medicare benefits to 4 organizations: Henry Ford Health Genesys Hospital (Grand Blanc, MI), Capital Area Anesthesia PC (Okemos, MI), Anesthesia & Intensive Care Consultants,inc. (Batavia, OH) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). 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 Tia Agboruche's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tia Agboruche accept?
Health plans from 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.
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 2 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.
# Mrs. Tia Dominique Agboruche · NPI 1013687029
Nurse Anesthetist, Certified Registered physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since September 20, 2021.
## Identity
- **NPI:** 1013687029 (Entity type: Individual)
- **Enumerated:** September 20, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704311021 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 20418 BINDER ST, Detroit, MI 48234-1913
- **Phone:** (313) 333-4038
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health Genesys Hospital (NPI 1558517367, Grand Blanc, MI); Capital Area Anesthesia PC (NPI 1538105010, Okemos, MI); Anesthesia & Intensive Care Consultants,inc. (NPI 1164859013, Batavia, OH); Northstar Anesthesia Of Michigan III PLLC (NPI 1972126209, Irving, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1013687029) · Data from the CMS NPPES public registry.