HAKEEM ADEGBOYEGA POPOOLA M.D.
NPI 1285481796
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Hakeem Popoola's NPI number?

The NPI number for Hakeem Popoola is 1285481796. It was assigned to this individual provider in the NPPES registry on May 2, 2024.

Q: What is Hakeem Popoola's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hakeem Popoola was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since May 02, 2024PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-7147 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2024, May 2, 2024 (2 updates tracked since 2024).

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About Hakeem Adegboyega Popoola M.d. NPPES

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

HAKEEM ADEGBOYEGA POPOOLA M.D. (NPI 1285481796) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285481796

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameHAKEEM ADEGBOYEGA POPOOLACredential: M.D.

Location Address205 N EAST AVEJackson, MI 49201

Mailing Address205 N East AveJackson, MI 49201 · (517) 205-7147

Phone(517) 205-7147

Sole ProprietorNo

Enumeration DateMay 2, 2024

Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration

✔ NPI 1285481796 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.

205 N EAST AVE, Jackson, MI 49201

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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)

Hakeem Adegboyega Popoola M.d. 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.

SAMANTHA RENE DANEK PA-C

Physician Assistant