DR. RACHAEL SENAMI FAKOLUJO
NPI 1063152940
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since March 30, 2022PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-1601 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rachael Senami Fakolujo NPPES

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

DR. RACHAEL SENAMI FAKOLUJO (NPI 1063152940) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063152940
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. RACHAEL SENAMI FAKOLUJO
Location Address2799 W GRAND BLVDDetroit, MI 48202-2689
Mailing Address415 Hummingbird LnBensalem, PA 19020-4644 · (215) 626-5517
Sole ProprietorNo
Enumeration DateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1063152940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2799 W GRAND BLVD, Detroit, MI 48202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Rachael Senami Fakolujo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

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 Rachael Fakolujo's NPI number?

The NPI number for Rachael Fakolujo is 1063152940. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Rachael Fakolujo located?

Rachael Fakolujo practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-1601.

What is Rachael Fakolujo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rachael Fakolujo enrolled in Medicare?

Yes. Rachael Fakolujo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rachael Fakolujo was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.