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OLANIPEKUN LANNY NTUKIDEM MD
NPI 1366146243
Internal Medicine in Ypsilanti, MI

Active since March 27, 2023PECOS Enrolled
5333 MCAULEY DR RM 4001, YPSILANTI, MI 48197(734) 712-3980 Get Directions Write a Review

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

Record update history: Mar 23, 2026, Mar 27, 2023 (2 updates tracked since 2023).

About Olanipekun Lanny Ntukidem Md NPPES

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

OLANIPEKUN LANNY NTUKIDEM MD (NPI 1366146243) is an individual internal medicine provider in Ypsilanti, Michigan, licensed in Michigan (4301516740) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1366146243
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameOLANIPEKUN LANNY NTUKIDEMCredential: MD
Location Address5333 MCAULEY DR RM 4001Ypsilanti, MI 48197-1099
Mailing Address24 Frank Lloyd Wright Dr # J2000Ann Arbor, MI 48105-9484 · (734) 747-6766
Phone(734) 712-3980
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 27, 2023
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1366146243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301516740
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5333 MCAULEY DR RM 4001, Ypsilanti, MI 48197
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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)

Olanipekun Lanny Ntukidem Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385006782
PECOS Enrollment IDI20260521002901
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 48197 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
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.

OLIVIA ANNE FAILLA DO
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
SHAWN O'MALLEY
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
ST JOSEPH MERCY HOSPITAL
General Acute Care Hospital (Critical Access)
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-5863
SUDHA KALI AYALA DO
Internal Medicine
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
DAVID BLUMENTHAL MD
Internal Medicine
5333 MCAULEY DR RM 4001, ACADEMIC INTERNAL MEDICINE
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
JACOB AGEMY MD
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
DR. WILLIAM JOHN NABER II
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
EMAN AFROZE
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980

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 Olanipekun Lanny Ntukidem's NPI number?

The NPI number for Olanipekun Lanny Ntukidem is 1366146243. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Olanipekun Lanny Ntukidem located?

Olanipekun Lanny Ntukidem practices at 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197. The listed phone number is (734) 712-3980.

What is Olanipekun Lanny Ntukidem's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Olanipekun Lanny Ntukidem enrolled in Medicare?

Yes. Olanipekun Lanny Ntukidem is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olanipekun Lanny Ntukidem was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.