Active NPI
Iheanacho Obinnaya Emeruwa, MD, MBA
- Pulmonary Disease Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A154224
- Practice address
- 200 UCLA Medical PLZ Ste 365B
Los Angeles, CA 90095-3729 - Phone
- (310) 825-7921
- NPI assigned
- Apr 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A154224 | CA | Primary |
| Hospitalist Physician | 208M00000X | 288378 | NY |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 365B
Los Angeles, CA 90095-3729
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (301) 310-8771
Other practice location 1
161 Fort Washington Ave
New York, NY 10032-3729
Phone (212) 305-2843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200611002247 | CA | Practitioner - Pulmonary Disease | 7214205079 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Columbia University College of Physicians and Surgeons, 2014
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
14445 Olive View Dr
Cottage R
Sylmar, CA 91342-1438
3101 Sawtelle Blvd
Apt 210
Los Angeles, CA 90066-1414
393 E Walnut 3Rd FL
Pasedena, CA 91188-0001
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
6529 Riverside Ave
Riverside, CA 92506-3100
955 Deep Valley Dr
Unit 3243
Palos Verdes Estates, CA 90274-9996
Hospital & facility affiliations
- Ronald Reagan UCLA Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 79.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A154224 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| The Regents of the University of California | Pulmonary Disease | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients |
Locations
24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252
File 55737
Los Angeles, CA 90074
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
200 UCLA Medical Plz
Ste 365B
Los Angeles, CA 90095
Phone (310) 825-2448
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
Interoperability endpoints
- iemeruwa610736@direct.uclahealth.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
CA, Pulmonary Disease
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134159320
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1013335355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "301-310-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE 365B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953729",
"telephone_number": "310-825-7921"
}
],
"practiceLocations": [
{
"address_1": "161 Fort Washington Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323729",
"country_code": "US",
"telephone_number": "212-305-2843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMERUWA",
"first_name": "IHEANACHO",
"middle_name": "OBINNAYA",
"name_prefix": "Dr.",
"credential": "MD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-03",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A154224",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "288378",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.