ENIOLA RAHEEM IBIROGBA M.B.B.S.
NPI 1992324784
Obstetrics & Gynecology in Grand Rapids, MI

Q: What is Eniola Ibirogba's NPI number?

The NPI number for Eniola Ibirogba is 1992324784. It was assigned to this individual provider in the NPPES registry on April 11, 2020.

Q: What is Eniola Ibirogba's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Eniola Ibirogba was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 11, 2020PECOS Enrolled

330 BARCLAY AVE NE STE 304, GRAND RAPIDS, MI 49503(616) 391-2160(616) 391-2683 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2022, Apr 11, 2020 (2 updates tracked since 2020).

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About Eniola Raheem Ibirogba M.b.b.s. NPPES

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

ENIOLA RAHEEM IBIROGBA M.B.B.S. (NPI 1992324784) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Michigan (4351047274) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992324784

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameENIOLA RAHEEM IBIROGBACredential: M.B.B.S.

Location Address330 BARCLAY AVE NE STE 304Grand Rapids, MI 49503-2527

Mailing Address330 Barclay Ave Ne Ste 304Grand Rapids, MI 49503-2527 · (616) 391-2160 · Fax (616) 391-2683

Phone(616) 391-2160

Fax(616) 391-2683

Sole ProprietorNo

Enumeration DateApril 11, 2020

Last NPPES UpdateMay 16, 20222 updates tracked since enumeration

NPPES CertifiedMay 16, 2022

✔ NPI 1992324784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · 4351047274

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

330 BARCLAY AVE NE STE 304, Grand Rapids, MI 49503

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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)

Eniola Raheem Ibirogba M.b.b.s. 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 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

KAELA BROWN MD

Obstetrics & Gynecology