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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OBOSEH JOHN OGEDEGBE
NPI 1568167757
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 05, 2023PECOS Enrolled
3990 JOHN R ST, DETROIT, MI 48201(888) 362-2500 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2023, Apr 5, 2023 (2 updates tracked since 2023).

About Oboseh John Ogedegbe NPPES

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

OBOSEH JOHN OGEDEGBE (NPI 1568167757) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568167757
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOBOSEH JOHN OGEDEGBE
Location Address3990 JOHN R STDetroit, MI 48201-2018
Mailing Address3990 John R StDetroit, MI 48201-2018
Phone(888) 362-2500
Sole ProprietorYes
Enumeration DateApril 5, 2023
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1568167757 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.
3990 JOHN R ST, Detroit, MI 48201
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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)

Oboseh John Ogedegbe 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.

KIMBERLY DAWN HARRIS CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8521
CAROLINE L TALBERT CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600
CHISAOKWU DURU
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7233
MR. MOHAMED IBRAHIM BAZZI
Occupational Therapist
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (810) 333-1822
DR. SAMIR F FULEIHAN M.D.
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8521
DR. KAMAL K NANGIA
Emergency Medicine
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8040
TODD E HAMILTON CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600
MITCHELL R BRADLEY CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600

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 Oboseh Ogedegbe's NPI number?

The NPI number for Oboseh Ogedegbe is 1568167757. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Oboseh Ogedegbe located?

Oboseh Ogedegbe practices at 3990 John R St, Detroit, MI 48201. The listed phone number is (888) 362-2500.

What is Oboseh Ogedegbe's specialty?

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

Is Oboseh Ogedegbe enrolled in Medicare?

Yes. Oboseh Ogedegbe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oboseh Ogedegbe was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.