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DR. KATRICE L HERNDON-OGUNLEYE MD
NPI 1407969827
Internal Medicine in Detroit, MI

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
4201 SAINT ANTOINE ST STE 7A, DETROIT, MI 48201(313) 822-9801(313) 831-9476 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2025, Aug 12, 2024 (2 updates tracked since 2024).

About Dr. Katrice L Herndon-ogunleye Md NPPES

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

DR. KATRICE L HERNDON-OGUNLEYE MD (NPI 1407969827) is an individual internal medicine provider in Detroit, Michigan, licensed in Michigan (4301077884) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and is a graduate of Wayne State University School Of Medicine (2001).

NPPES Registry Identity

NPI1407969827
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KATRICE L HERNDON-OGUNLEYECredential: MD
Location Address4201 SAINT ANTOINE ST STE 7ADetroit, MI 48201-2153
Mailing Address4201 Saint Antoine St # 7aDetroit, MI 48201-2153 · (313) 822-9801 · Fax (313) 966-8111
Phone(313) 822-9801
Fax(313) 831-9476
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2001
Enumeration DateAugust 17, 2006
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1407969827 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 · 4301077884
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 ListedPediatricsTaxonomy 208000000X · License 4301077884 (MI)
4201 SAINT ANTOINE ST STE 7A, Detroit, MI 48201
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Other Names 1

Former Name (1)Dr. Katrice L Herndon Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Katrice L Herndon-ogunleye Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214936400
PECOS Enrollment IDI20061218000089
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katrice Herndon-ogunleye reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Centers Detroit Foundation, Inc.
Same address
Federally Qualified Health Center (FQHC)
4201 SAINT ANTOINE ST, 7A
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 13 clinicians in this Medicare group
NPI 1770657785 (313) 745-4091
Focus Program
14 mi
Psychologist
2891 E MAPLE RD STE 200
Troy, MI 48083
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1538754437 (248) 709-2612

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
1,810 services209 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
58 services17 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
38 services17 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
19 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers20 claims54 services$6.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims18 services$1.23 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$5.34 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$184.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Katrice Herndon-ogunleye's NPI number?

The NPI number for Katrice Herndon-ogunleye is 1407969827. It was assigned to this individual provider in the NPPES registry on August 17, 2006. The provider is also known as Dr. Katrice L Herndon MD.

Where is Katrice Herndon-ogunleye located?

Katrice Herndon-ogunleye practices at 4201 Saint Antoine St Ste 7A, Detroit, MI 48201. The listed phone number is (313) 822-9801.

What is Katrice Herndon-ogunleye's specialty?

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

Is Katrice Herndon-ogunleye enrolled in Medicare?

Yes. Katrice Herndon-ogunleye is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Katrice Herndon-ogunleye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katrice Herndon-ogunleye reassigns Medicare benefits to 2 organizations: Health Centers Detroit Foundation, Inc. (Detroit, MI) and Focus Program (Troy, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katrice Herndon-ogunleye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katrice Herndon-ogunleye accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Katrice Herndon-ogunleye as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Katrice Herndon-ogunleye affiliated with any hospitals?

According to CMS data, Katrice Herndon-ogunleye is affiliated with Harper University Hospital.

When was this NPI record last updated?

The NPPES record for Katrice Herndon-ogunleye was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.