OLUFUNMILOLA ADISA MD, MPH
NPI 1992648851
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Q: What is Olufunmilola Adisa's NPI number?

The NPI number for Olufunmilola Adisa is 1992648851. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Q: What is Olufunmilola Adisa'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 April 13, 2026PECOS Enrolled

1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 337-4600 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2026, Apr 13, 2026 (2 updates tracked since 2026).

On this page

About Olufunmilola Adisa Md, Mph NPPES

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

OLUFUNMILOLA ADISA MD, MPH (NPI 1992648851) is an individual student in an organized health care education/training program in Kalamazoo, Michigan, licensed in Michigan (4351055854) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992648851

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameOLUFUNMILOLA ADISACredential: MD, MPH

Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282

Mailing Address1000 Oakland DrKalamazoo, MI 49008-1282

Phone(269) 337-4600

Sole ProprietorNo

Enumeration DateApril 13, 2026

Last NPPES UpdateApril 21, 20262 updates tracked since enumeration

NPPES CertifiedApril 21, 2026

✔ NPI 1992648851 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 · 4351055854

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.

1000 OAKLAND DR, Kalamazoo, MI 49008

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olufunmilola Adisa Md, Mph 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.

ANDREW MATTINGLY MD

Student in an Organized Health Care Education/Training Program