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DR. SORIE POREH KARGBO MD
NPI 1407649874
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 27, 2025PECOS Enrolled
3031 W GRAND BLVD STE 600, DETROIT, MI 48202(313) 879-6960(313) 879-6960 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2025, May 27, 2025 (2 updates tracked since 2025).

About Dr. Sorie Poreh Kargbo Md NPPES

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

DR. SORIE POREH KARGBO MD (NPI 1407649874) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407649874
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SORIE POREH KARGBOCredential: MD
Location Address3031 W GRAND BLVD STE 600Detroit, MI 48202-3014
Mailing Address1936 Carter RdFolcroft, PA 19032-1716 · (267) 275-9301
Phone(313) 879-6960
Fax(313) 879-6960
Sole ProprietorYes
Enumeration DateMay 27, 2025
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1407649874 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 600, 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. Sorie Poreh Kargbo 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 20

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

DR. ASHLEY NICHOLE DABABNEH DO
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
DR. JOSEPHINE IRUKAEGO NGAMA MD
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
DR. DANA JAALOUK MD
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
DEEPAK SASHTI MD
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
ESEOSA OMOSIVIE URHOGHIDE M.D
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
ADAM KHANAFER
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
RACHEL ADEBUKOLA O'DARE NP
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (708) 299-2318
MARIA NAUSHAB DO
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751

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 Sorie Kargbo's NPI number?

The NPI number for Sorie Kargbo is 1407649874. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Sorie Kargbo located?

Sorie Kargbo practices at 3031 W Grand Blvd Ste 600, Detroit, MI 48202. The listed phone number is (313) 879-6960.

What is Sorie Kargbo's specialty?

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

Is Sorie Kargbo enrolled in Medicare?

Yes. Sorie Kargbo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sorie Kargbo was last updated on June 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.