KAODICHINMA OGBONNA
NPI 1972076693
Nurse Practitioner - Family in Detroit, MI

Q: What is Kaodichinma Ogbonna's NPI number?

The NPI number for Kaodichinma Ogbonna is 1972076693. It was assigned to this individual provider in the NPPES registry on January 4, 2019.

Q: What is Kaodichinma Ogbonna's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 04, 2019PECOS EnrolledAccepts Medicare Assignment

6071 W OUTER DR, DETROIT, MI 48235(313) 966-1400 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kaodichinma Ogbonna NPPES

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

KAODICHINMA OGBONNA (NPI 1972076693) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704267833) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1972076693

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKAODICHINMA OGBONNA

Location Address6071 W OUTER DRDetroit, MI 48235-2624

Mailing Address18362 Cedar Island BlvdBrownstown, MI 48174-9584 · (313) 646-3101

Phone(313) 966-1400

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 4, 2019

✔ NPI 1972076693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704267833

6071 W OUTER DR, Detroit, MI 48235

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaodichinma Ogbonna 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 ID4587099635

PECOS Enrollment IDI20200117000399

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 48235 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

$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.

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.

MS. LILIA POPADIUK P.A.

Physician Assistant