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OLUWATOSIN GRACE OMOTOSHO M.D
NPI 1851966865
Student in an Organized Health Care Education/Training Program in Brighton, MI

Active since May 21, 2021PECOS Enrolled
FAMILY MEDICINE RESIDENCY PROGRAM ST. JOSEPH MERCY, BRIGHTON, MI 48114(810) 844-7940(810) 844-7960 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2024, Dec 2, 2022, May 21, 2021 (3 updates tracked since 2021).

About Oluwatosin Grace Omotosho M.d NPPES

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

OLUWATOSIN GRACE OMOTOSHO M.D (NPI 1851966865) is an individual student in an organized health care education/training program in Brighton, Michigan and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851966865
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOLUWATOSIN GRACE OMOTOSHOCredential: M.D
Location AddressFAMILY MEDICINE RESIDENCY PROGRAM ST. JOSEPH MERCYBrighton, MI 48114
Mailing AddressFamily Medicine Residency Program St. Joseph Mercy, 7575 Grand River Avenue, Suite 208Brighton, MI 48114 · (810) 844-7940 · Fax (810) 844-7960
Phone(810) 844-7940
Fax(810) 844-7960
Sole ProprietorYes
Enumeration DateMay 21, 2021
Last NPPES UpdateDecember 2, 20223 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
✔ NPI 1851966865 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.
FAMILY MEDICINE RESIDENCY PROGRAM ST. JOSEPH MERCY, Brighton, MI 48114
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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)

Oluwatosin Grace Omotosho M.d 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$14.87 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$4.63 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$62.34 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 Oluwatosin Omotosho's NPI number?

The NPI number for Oluwatosin Omotosho is 1851966865. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Oluwatosin Omotosho located?

Oluwatosin Omotosho practices at Family Medicine Residency Program St. Joseph Mercy, Brighton, MI 48114. The listed phone number is (810) 844-7940.

What is Oluwatosin Omotosho's specialty?

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

Is Oluwatosin Omotosho enrolled in Medicare?

Yes. Oluwatosin Omotosho is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oluwatosin Omotosho was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.