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DR. IKECHUKWU UCHENNA MBAGWU MD
NPI 1124602040
Psychiatry & Neurology - Psychiatry in Detroit, MI

Active since May 06, 2021PECOS EnrolledAccepts Medicare Assignment
3031 W GRAND BLVD STE 600, DETROIT, MI 48202(313) 346-5235 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2023, May 9, 2022, May 3, 2022 and 2 more (5 updates tracked since 2021).

About Dr. Ikechukwu Uchenna Mbagwu Md NPPES

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

DR. IKECHUKWU UCHENNA MBAGWU MD (NPI 1124602040) is an individual psychiatry provider in Detroit, Michigan, licensed in Michigan (4351048707) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Southfield, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124602040
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. IKECHUKWU UCHENNA MBAGWUCredential: MD
Location Address3031 W GRAND BLVD STE 600Detroit, MI 48202-3014
Mailing Address3031 W Grand Blvd Ste 600Detroit, MI 48202-3014 · (313) 871-3751
Phone(313) 346-5235
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 6, 2021
Last NPPES UpdateJuly 11, 20235 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1124602040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MI · 4351048707
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3031 W GRAND BLVD STE 600, Detroit, MI 48202
Open in Google Maps ↗

Secondary Practice Location 1

Location 122250 Providence Dr., 3PMB Suite #301Southfield, MI 48075 · Phone (248) 849-3281 · Fax (248) 849-5449

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

Dr. Ikechukwu Uchenna Mbagwu Md 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 ID8820509920
PECOS Enrollment IDI20250616002987
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.

Medicare Billing Reassignment

Medicare enrollment records show Ikechukwu Mbagwu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Newaygo County Mental Health Board
159 mi
Community/Behavioral Health
1049 E NEWELL ST
White Cloud, MI 49349
  • Reassigned Medicare billing, Michigan enrollment
  • 21 clinicians in this Medicare group
NPI 1376512236 (231) 689-7330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
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.

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.

DR. ASHLEY NICHOLE DABABNEH DO
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
DR. JOSEPHINE IRUKAEGO NGAMA MD
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
DR. DANA JAALOUK MD
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
DEEPAK SASHTI MD
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
ESEOSA OMOSIVIE URHOGHIDE M.D
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
ADAM KHANAFER
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
RACHEL ADEBUKOLA O'DARE NP
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (708) 299-2318
MARIA NAUSHAB DO
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751

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 Ikechukwu Mbagwu's NPI number?

The NPI number for Ikechukwu Mbagwu is 1124602040. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Where is Ikechukwu Mbagwu located?

Ikechukwu Mbagwu practices at 3031 W Grand Blvd Ste 600, Detroit, MI 48202. The listed phone number is (313) 346-5235.

What is Ikechukwu Mbagwu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ikechukwu Mbagwu enrolled in Medicare?

Yes. Ikechukwu Mbagwu 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 organization bills Medicare for Ikechukwu Mbagwu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ikechukwu Mbagwu reassigns Medicare benefits to Newaygo County Mental Health Board (White Cloud, MI). The 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 Ikechukwu Mbagwu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ikechukwu Mbagwu was last updated on July 11, 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.