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: August 09, 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
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.
3031 W GRAND BLVD STE 600, Detroit, MI 48202

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, and ordering and referring status from the CMS PECOS system.

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.

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.

Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
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 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.

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.