DR. ABIMBOLA MODUPE OSOBAMIRO (M.D.) – Internal Medicine Physician, NPI 1356335418

DR. ABIMBOLA MODUPE OSOBAMIRO (M.D.) is a healthcare provider. based in Troy, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301063170 (MI). The NPI Number for DR. ABIMBOLA MODUPE OSOBAMIRO (M.D.) is 1356335418

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. ABIMBOLA MODUPE OSOBAMIRO (M.D.)
NPI
1356335418
Phone
(248) 952-1601
Address
4967 CROOKS RD
Enumeration Date
6 September 2005
Last Update Date
25 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3426273267
Graduation Year
1988 (38 years ago)
PAC ID
8325055593
Group Practice PAC ID
2365359932
Professional Enrollment ID
I20060313000535
Address ID
MI480380002CL44003BLVD400
Telehealth
Yes

Contacts

Secure Messaging
aosobamiro136909@direct.hfhs.org
Secure Messaging
credentialing@alliancehealth.email
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for DR. ABIMBOLA MODUPE OSOBAMIRO (M.D.)

  • Crooks Road, Troy, Oakland County, Michigan, 48098, United States

    STE 130

    TROY, MI 480985801

    Phone: (248) 952-1601

    Fax: (248) 952-1614

    Type: Mailing

  • Henry Ford Macomb Hospital, 15855, 19 Mile Road, Clinton Township, Macomb County, Michigan, 48038, United States

    CLINTON TOWNSHIP, MI 480383504

    Phone: (734) 464-0887

    Fax: (734) 402-0254

    Type: Location

  • PO BOX 675398

    DETROIT, MI 482675398

    Phone: (586) 329-1880

    Fax: (586) 231-0055

    Type: Mailing

  • 133 S MAIN ST

    MOUNT CLEMENS, MI 480432308

    Phone: (586) 468-1600

    Fax: (586) 465-0329

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $538.

Total Amount is formed as General ($538) + Research ($0) + Ownership ($0) = $538.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Exact Sciences Corporation ($120).

Total Amount

$538

General + Research + Ownership

Payments

29

Total payment records

General Amount

$538

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060313000535IInternal MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg1,08011$0
99214Established patient office or other outpatient visit, 30-39 minutes275161$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit147147$0
G0444Annual depression screening, 5 to 15 minutes140140$0
99213Established patient office or other outpatient visit, 20-29 minutes9578$0
View full utilization report →

Insurance plans in this area (ZIP 48098)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365359932View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWV
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticePA
Qualified Speech Language PathologistSC
Occupational Therapist In Private PracticeDC
Internal MedicineMI
Anesthesiology, Interventional Pain ManagementMI
Occupational Therapist In Private PracticeWV
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMD

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ABIMBOLA MODUPE OSOBAMIRO (M.D.)?
NPI 1356335418 is assigned to DR. ABIMBOLA MODUPE OSOBAMIRO (M.D.) under the national enumeration system.
Does this profile mean DR. ABIMBOLA MODUPE OSOBAMIRO (M.D.) is currently active?
Yes — DR. ABIMBOLA MODUPE OSOBAMIRO (M.D.) appears active in the national provider directory.
Does DR. ABIMBOLA MODUPE OSOBAMIRO (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. ABIMBOLA MODUPE OSOBAMIRO (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. ABIMBOLA MODUPE OSOBAMIRO (M.D.)'s primary listing?
We display Troy, Michigan because that is what the record indicates for DR. ABIMBOLA MODUPE OSOBAMIRO (M.D.).
How can I contact DR. ABIMBOLA MODUPE OSOBAMIRO (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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