DR. OMOSALEWA ITAUMA (M.D.) – Obstetrics & Gynecology Physician, NPI 1891922613
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,735 OBSTETRICS/GYNECOLOGY in MI
Provider Addresses for DR. OMOSALEWA ITAUMA (M.D.)
3175 Professional Ct
Bay City, MI 487062823
Phone: (989) 667-3377
Fax: (989) 667-9991
Type: Location
4401 CAMPUS RIDGE DR STE LL110
MIDLAND, MI 486406126
Phone: (989) 837-9400
Type: Location
3956 Mount Elliott St
Detroit, MI 482071841
Phone: (313) 925-4540
Type: Location
3956, Mount Elliott Street, McDougall-Hunt, Detroit, Wayne County, Michigan, 48207, United States
DETROIT, MI 482071841
Phone: (313) 925-4540
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2015-07-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150727000466 | I | Obstetrics/Gynecology | MI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48706)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | TX | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| Pulmonary Disease, Critical Care (Intensivists) | MI | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Certified Registered Nurse Anesthetist (Crna) | LA |
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