Individual provider Active NPI

Omazonna Amadi, MD

  • Family Medicine Physician
  • Rochester, IN
National Provider Identifier
1013400753
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01087791A Issued in IN
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.

View all 20

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 30 clinicians

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 Hospital, Rochester, IN, CCN 151313
  • Saint Joseph Regional Medical Center - Plymouth Hospital, Plymouth, IN, CCN 150076

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220815001660 IN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8820494412 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01087791AINMDFamily Medicine Physician

Practice roles (7 of 12)

OrganizationSpecialtyStatusNew patients
Woodlawn Hospital CurrentSince Dec 31, 2025 Accepting new patients
Woodlawn Hospital CurrentSince Oct 16, 2023 Accepting new patients
Woodlawn Hospital Family Medicine Current Accepting new patients
Woodlawn Hospital Family Medicine CurrentSince Oct 16, 2023 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

  • Direct secure messaging: oamadi675440@direct.parkviewexchange.com
  • Direct secure messaging: omazonnaamadi@wmp.allscriptsdirect.net

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
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 Registry

Primary 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
IdentifierTypeStateIssuer
1102674314OtherINANTHEM
300065568MedicaidIN

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

Verify at the official NPI Registry.