Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CHARISSA N OBENG-NYARKO MD
NPI 1225830714
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Charissa Obeng-nyarko's NPI number?

The NPI number for Charissa Obeng-nyarko is 1225830714. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Q: What is Charissa Obeng-nyarko's specialty?

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

Active since March 25, 2025PECOS Enrolled

3031 W GRAND BLVD STE 800, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Charissa N Obeng-nyarko Md NPPES

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

DR. CHARISSA N OBENG-NYARKO MD (NPI 1225830714) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225830714

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. CHARISSA N OBENG-NYARKOCredential: MD

Location Address3031 W GRAND BLVD STE 800Detroit, MI 48202-3141

Mailing Address3031 W Grand Blvd Ste 800Detroit, MI 48202-3141

Phone(313) 916-2600

Sole ProprietorNo

Enumeration DateMarch 25, 2025

Last NPPES UpdateJune 10, 2026

NPPES CertifiedJune 10, 2026

✔ NPI 1225830714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

3031 W GRAND BLVD STE 800, Detroit, MI 48202

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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)

Dr. Charissa N Obeng-nyarko Md 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 15

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

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