KIRSTEN I MOGBO MD
NPI 1568426294
Radiology - Diagnostic Radiology in Detroit, MI

Active since April 12, 2006PECOS Enrolled
2799 W. GRAND BLVD., DETROIT, MI 48202(214) 645-9729(214) 645-9289 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kirsten I Mogbo Md NPPES

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

KIRSTEN I MOGBO MD (NPI 1568426294) is an individual diagnostic radiology provider in Detroit, Michigan, licensed in Michigan (4301059222) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568426294
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameKIRSTEN I MOGBOCredential: MD
Location Address2799 W. GRAND BLVD.Detroit, MI 48202
Mailing Address2799 W. Grand Blvd.Detroit, MI 48202 · (313) 916-7425 · Fax (313) 916-7925
Fax(214) 645-9289
Sole ProprietorNo
Enumeration DateApril 12, 2006
Last NPPES UpdateMarch 25, 2014
NPI 1568426294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MI · 4301059222
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2799 W. GRAND BLVD., Detroit, MI 48202

Other Identifiers 4

Medicare UPING52872
Medicaid118182804TX
Medicare UPING52872TX
Medicare ID-Type Unspecified8B4775TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kirsten I Mogbo 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 5

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

General Acute Care Hospital
2799 W. GRAND BLVD.
DETROIT, MI 48202
Specialist/Technologist, Other (Geneticist, Medical (PhD))
2799 W. GRAND BLVD.
DETROIT, MI 48202
Hospitalist
2799 W. GRAND BLVD.
DETROIT, MI 48202
Student in an Organized Health Care Education/Training Program
2799 W. GRAND BLVD.
DETROIT, MI 48202
Internal Medicine
2799 W. GRAND BLVD., CFP 046
DETROIT, MI 48202

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 Kirsten Mogbo's NPI number?

The NPI number for Kirsten Mogbo is 1568426294. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Kirsten Mogbo located?

Kirsten Mogbo practices at 2799 W. Grand Blvd., Detroit, MI 48202. The listed phone number is (214) 645-9729.

What is Kirsten Mogbo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kirsten Mogbo enrolled in Medicare?

Yes. Kirsten Mogbo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kirsten Mogbo was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.