Active NPI
Omazonna Amadi, MD
- Family Medicine Physician
- Rochester, IN
National Provider Identifier
1013400753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01087791A
- Practice address
- 1400 E 9TH St
Rochester, IN 46975-8931 - Phone
- (574) 223-2020
- NPI assigned
- Jun 7, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
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.
-
- Rural Health Clinic/Center
- Rochester, IN
- NPI 1265095988
-
- Rural Health Clinic/Center
- Argos, IN
- NPI 1962065847
-
- Skilled Nursing Facility
- North Manchester, IN
- NPI 1073557617
-
- Skilled Nursing Facility
- South Bend, IN
- NPI 1184604233
-
- Skilled Nursing Facility
- Demotte, IN
- NPI 1235113945
-
- Nursing Facility/Intermediate Care Facility
- Winona Lake, IN
- NPI 1285723734
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1326180803
-
- Nursing Facility/Intermediate Care Facility
- Frankfort, IN
- NPI 1548241045
-
- Medicare Defined Swing Bed Hospital Unit
- Rochester, IN
- NPI 1548396534
-
- Rural Health Clinic/Center
- Rochester, IN
- NPI 1699338574
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Woodlawn Hospital
Practice addresses (Care Compare)
1400 E 9TH St
Rochester, IN 46975-8931
1430 E 9TH St
Rochester, IN 46975-8931
Hospital & facility affiliations
- Woodlawn Hospital
- Saint Joseph Regional Medical Center - Plymouth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20220815001660 | IN | Practitioner - Family Practice | 8820494412 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01087791A | IN | MD | Family Medicine Physician |
Practice roles (7 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodlawn Hospital | Current | Accepting new patients | |
| Woodlawn Hospital | Current | Accepting new patients | |
| Woodlawn Hospital | Family Medicine | Current | Accepting new patients |
| Woodlawn Hospital | Family Medicine | Current | Accepting new patients |
| Woodlawn Hospital | Past | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Past | Accepting new patients | |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Family Medicine | Past | Accepting new patients |
Locations
1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020
Networks
- IL PPO Downstate
- IL HMO C-SNP
- KY PPO C-SNP
- KY PPO
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Interoperability endpoints
- oamadi675440@direct.parkviewexchange.com
- omazonnaamadi@wmp.allscriptsdirect.net
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 309007 | NY | |
| Obstetrics Physician | 207VX0000X | 309007 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 01087791A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1400 E 9TH St
Rochester, IN 46975-8931
Mailing address
1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 223-2020
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1102674314 | Other | IN | ANTHEM |
| 300065568 | Medicaid | IN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2024.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1013400753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E 9TH ST",
"city": "ROCHESTER",
"state": "IN",
"postal_code": "469758931",
"telephone_number": "574-223-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E 9TH ST",
"city": "ROCHESTER",
"state": "IN",
"postal_code": "469758931",
"telephone_number": "574-223-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADI",
"first_name": "OMAZONNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "309007",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NY",
"license": "309007",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01087791A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1102674314",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300065568",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.