CMS-1500 Box 24J / 33a • NPI
1104315688
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
27450 SCHOENHERR RD STE 400, WARREN, MI, 48088-6684
✓ 9-Digit EDI 837 ZIP+4 (48088-6684)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104315688 (OMOFOLARIN ARTHUR, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1104315688)
Medicare Beneficiaries
214
Total Billed Services
1,003
Distinct CPT/HCPCS Codes
78
Medicare Allowed Total
$39,977.65
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 132 |
71046 | X-ray of chest, 2 views | 14 |
80048 | Blood test, basic group of blood chemicals (calcium, total) | 25 |
80053 | Blood test, comprehensive group of blood chemicals | 42 |
80061 | Blood test, lipids (cholesterol and triglycerides) | 41 |
80069 | Kidney function blood test panel | 13 |
81003 | Automated urinalysis test | 26 |
82043 | Urine microalbumin (protein) level | 15 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 56 | 25 |
| Alendronate Sodium Alendronate Sodium | 29 | 11 |
| Allopurinol Allopurinol | 44 | 13 |
| Alprazolam Alprazolam | 19 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 11 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 230 | 83 |
| Amlodipine Besylate-Benazepril Amlodipine Besylate/Benazepril | 12 | <11 |
| Amlodipine-Olmesartan Amlodipine Bes/Olmesartan Med | 21 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104315688 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | OMOFOLARIN ARTHUR, DO |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207Q00000X (Family Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 27450 SCHOENHERR RD STE 400, WARREN, MI, 48088-6684 |
| Practice Telephone / Fax | Tel: (586) 582-7550 |
| Administrative Mailing Address | 27450 SCHOENHERR RD STE 400, WARREN, MI, 48088-6684 |
| Enumeration & Last Sync | Enumerated: 2018-05-09 | CMS Record Updated: 2021-07-09 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)
What Does Taxonomy Code 207Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (OMOFOLARIN ARTHUR, DO)
Typical CPT / Diagnostic Procedures:- Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
- Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
- Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
- Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
- Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
- Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
- Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
- Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
- Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: NC | License: 202101586 | Primary: Secondary |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: NC | License: 2021-01586 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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