Kellya Ubokudom, DO
NPI 1104213164 · Pediatric Emergency Medicine (Emergency Medicine) Physician · Ann Arbor, MI
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kellya Ubokudom, DO is a Pediatric Emergency Medicine (Emergency Medicine) Physician provider in Ann Arbor, MI (NPI 1104213164).
Provider details
- NPI number
- 1104213164
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 34013380 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 500 Euclid Ave E19Cleveland, OH 44195-2664Phone: (216) 445-9175Fax: (216) 445-4552
Registry dates
- Enumerated
- 2015-04-16
- Last updated
- 2022-11-07
- Certified
- 2022-11-07
Frequently asked questions
- What is Kellya Ubokudom's NPI number?
- Kellya Ubokudom's National Provider Identifier (NPI) is 1104213164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellya Ubokudom's specialty?
- Kellya Ubokudom is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Emergency Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Kellya Ubokudom located?
- Kellya Ubokudom's practice location on file with NPPES is 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000.
- What is Kellya Ubokudom's phone number?
- The practice phone number listed in the NPPES registry for Kellya Ubokudom is (734) 936-4000.
- Does Kellya Ubokudom accept Medicare?
- Kellya Ubokudom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kellya Ubokudom's NPI active?
- Yes — Kellya Ubokudom's NPI (1104213164) is active in the NPPES registry as of the last update on 2022-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.