Doctor profile · Federal record

Dr. Chineze Mbanugo, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

  • NPI 1063092955
  • 5 yrs on file
  • Female
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
2799 W Grand Blvd
Detroit, MI 482022689
(313) 916-1601
Additional location
15 Michigan St Ne
Grand Rapids, MI 495032508
(734) 620-5578

Credentials & registration

NPPES · NUCC
NPI registered
April 2021 — 5 yrs on file
Profile last updated
April 13, 2022
Specialty taxonomy
390200000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1063092955. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$270
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
La Jolla Pharmaceutical Company 1 $144.71
Avanos Medical 1 $125.55

By nature of payment

Food and Beverage
$270

Frequently asked questions

Auto-generated from federal data
What is Dr. Chineze Mbanugo's medical specialty?
Dr. Chineze Mbanugo practices Student in an Organized Health Care Education/Training Program in Detroit, MI.
Where does Dr. Chineze Mbanugo practice?
Dr. Chineze Mbanugo practices at 2799 W Grand Blvd, Detroit, MI 482022689. Office phone: 3139161601.
What is Dr. Chineze Mbanugo's NPI?
Dr. Chineze Mbanugo's National Provider Identifier (NPI) is 1063092955, issued by NPPES.