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AISHAT OREDEGBE MD
NPI 1104503655
Family Medicine in Grand Rapids, MI

Active since June 28, 2023PECOS Enrolled
300 LAFAYETTE SE, SUITE 4000, GRAND RAPIDS, MI 49503(616) 685-6922 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Aishat Oredegbe Md NPPES

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

AISHAT OREDEGBE MD (NPI 1104503655) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4351051001) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104503655
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAISHAT OREDEGBECredential: MD
Location Address300 LAFAYETTE SE, SUITE 4000Grand Rapids, MI 49503
Mailing Address200 Jefferson Se, Suite 305Grand Rapids, MI 49503 · (616) 685-6922 · Fax (616) 685-5192
Phone(616) 685-6922
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 28, 2023
Last NPPES UpdateSeptember 1, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1104503655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4351051001
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 LAFAYETTE SE, Grand Rapids, MI 49503
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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 (PECOS)

Aishat Oredegbe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426412685
PECOS Enrollment IDI20260731001016
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.

Hospital Affiliations CMS Care Compare

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA E STANFORD MD
Family Medicine
300 LAFAYETTE SE, STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922
EMILIE A COLLINS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
300 LAFAYETTE SE, STE 2045
GRAND RAPIDS, MI 49503
Kent County (616) 685-3098
SHERRY KUO DO
Internal Medicine (Pulmonary Disease)
300 LAFAYETTE SE, STE 3200
GRAND RAPIDS, MI 49503
Kent County (616) 685-6920
NASIR KHAN MD
Internal Medicine
300 LAFAYETTE SE, STE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 752-6919
JAMES P PASSINAULT MD
Internal Medicine
300 LAFAYETTE SE, STE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 752-6919
DR. COURTNEY ANN SOUBLIERE DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
300 LAFAYETTE SE, STE 2045
GRAND RAPIDS, MI 49503
Kent County (616) 685-3098
TERENCE ANDREW HAMBLETON LMSW
Social Worker (Clinical)
300 LAFAYETTE SE, STE 3200
GRAND RAPIDS, MI 49503
Kent County (616) 685-6920
ANIKA RISDEN MD
Family Medicine
300 LAFAYETTE SE, SUITE 4000
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922

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 Aishat Oredegbe's NPI number?

The NPI number for Aishat Oredegbe is 1104503655. It was assigned to this individual provider in the NPPES registry on June 28, 2023.

Where is Aishat Oredegbe located?

Aishat Oredegbe practices at 300 Lafayette SE Suite 4000, Grand Rapids, MI 49503. The listed phone number is (616) 685-6922.

What is Aishat Oredegbe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Aishat Oredegbe enrolled in Medicare?

Yes. Aishat Oredegbe is registered in the Medicare PECOS enrollment system.

Is Aishat Oredegbe affiliated with any hospitals?

According to CMS data, Aishat Oredegbe is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Aishat Oredegbe was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.