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AMANDA OBI DO
NPI 1245089259
Student in an Organized Health Care Education/Training Program in Mount Clemens, MI

Active since May 14, 2024PECOS Enrolled
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043(586) 790-9003 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 14, 2024, May 14, 2024 (2 updates tracked since 2024).

About Amanda Obi Do NPPES

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

AMANDA OBI DO (NPI 1245089259) is an individual student in an organized health care education/training program in Mount Clemens, Michigan and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245089259
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA OBICredential: DO
Location Address1000 HARRINGTON STMount Clemens, MI 48043-2920
Mailing Address1000 Harrington StMount Clemens, MI 48043-2920 · (586) 790-9003
Phone(586) 790-9003
Sole ProprietorNo
Enumeration DateMay 14, 2024
Last NPPES UpdateJune 14, 20242 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1245089259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedUrologyTaxonomy 208800000X · License 5151016557 (MI)
1000 HARRINGTON ST, Mount Clemens, MI 48043
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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)

Amanda Obi Do 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.

LEMAR GARDEZI MD
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-3727
WILLIAM B HALACOGLU DO PC
Emergency Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8101
JAVIER ZARATE
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
KRISTIN HOFSTAD PA
Physician Assistant
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
ANDREA PERRIN DO
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
JESSICA JOYCE LUTKENHOFF MD
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
ABIRA MUMTAZ
Internal Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
MS. LINDSEY APRIL MCCLAIN CRNA
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000

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 Amanda Obi's NPI number?

The NPI number for Amanda Obi is 1245089259. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Amanda Obi located?

Amanda Obi practices at 1000 Harrington St, Mount Clemens, MI 48043. The listed phone number is (586) 790-9003.

What is Amanda Obi's specialty?

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

Is Amanda Obi enrolled in Medicare?

Yes. Amanda Obi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Obi was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.