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

JADESOLA AKINWUNTAN MD
NPI 1811789183
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Jadesola Akinwuntan's NPI number?

The NPI number for Jadesola Akinwuntan is 1811789183. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Q: What is Jadesola Akinwuntan's specialty?

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

Active since May 21, 2025PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jadesola Akinwuntan Md NPPES

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

JADESOLA AKINWUNTAN MD (NPI 1811789183) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351056181) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811789183

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJADESOLA AKINWUNTANCredential: MD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2689

Mailing Address5501 Old York Rd Ste 1Philadelphia, PA 19141-3098 · (215) 456-7890

Phone(313) 916-2600

Sole ProprietorNo

Enumeration DateMay 21, 2025

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1811789183 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

License✔ Licensed in MI · 4351056181

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.

2799 W GRAND BLVD, 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)

Jadesola Akinwuntan 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.

HENRY FORD HOSPITAL

General Acute Care Hospital