Chukwuemeka Obidi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0063702 Issued in MD

Practice address

303 Memorial Blvd W
Hagerstown, MD 21740

Phone

(301) 791-7060

Fax

(301) 791-8990

NPI assigned

Oct 19, 2006

Last updated

Mar 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Pediatric Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dej Med Practice LLCGroup PAC ID 7810271004, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: chukwuemeka.obidi.1@14168.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JAHCBD/Endpoint/JAHCBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dej Med Practice, LLC

  dba Partners in Pediatrics and Family Health

  • Pediatrics Physician
  • Hagerstown, MD
  • NPI 1851515902
  Medicare reassignment Care Compare group
• Dej Med Practice, LLC

  dba Partners In Pediatrics

  • Pediatrics Physician
  • Hagerstown, MD
  • NPI 1669353504
  Authorized official Same address or phone
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Medlantic Healthcare Group

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1467408450
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1083796452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MEMORIAL BLVD W",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "301-791-7060",
            "fax_number": "301-791-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MEMORIAL BLVD W",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "301-791-7060",
            "fax_number": "301-791-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIDI",
        "first_name": "CHUKWUEMEKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0063702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410471400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Oakes, LCPC-S
• Julia D Oakley, M.D.
• Oasis Community Support Services
• Oasis Community Support Services Inc
• Annamarie Elizabeth Obaya, LGPC
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center - Staples Onsite)
• Occupational Health Centers of the Southwest P.a.
• Kassim Odebe
• Roberta Oden
• Catheline Odia, FNP

• Pediatrics Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.

Verify at the official NPI Registry.