Individual provider Active NPI

Chibuike Bruno Obioha, M.B.,B.S

  • Occupational Medicine Physician
  • Mason, OH
National Provider Identifier
1114160496
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
35.132134 Issued in OH
Practice address
4834 Socialville Foster Rd Ste 10
Mason, OH 45040-6805
Phone
(513) 306-4910
NPI assigned
Apr 15, 2009
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.132134 OH
Surgery Physician 208600000X 35.132134 OH
General Practice Physician 208D00000X 35.132134 OH
Occupational Medicine Physician 2083X0100X 35.132134 OH Primary

Addresses

Primary practice location

4834 Socialville Foster Rd Ste 10
Mason, OH 45040-6805

Mailing address

4834 Socialville Foster Rd Ste 10
Mason, OH 45040-6805
Phone (513) 306-4910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20171110002244 OH Practitioner - Preventive Medicine 0749593325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4834 Socialville Foster Rd
Suite 10
Mason, OH 45040-6805
Phone (513) 306-4910

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue336
Removal of skin lesions13
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Richard's Clinic CurrentSince Apr 4, 2024 Accepting new patients
Healogics Specialty Physicians of Ohio, LLC Emergency Medicine CurrentSince Sep 27, 2017 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

2400 Miami Valley Dr
Ste 215
Centerville, OH 45459
Phone (937) 438-4977

1010 Cereal Ave
Hamilton, OH 45013
Phone (513) 281-8827

1010 Cereal Ave
Ste 100
Hamilton, OH 45013
Phone (513) 867-2057

4834 Socialville Foster Rd
Ste 10
Mason, OH 45040
Phone (513) 306-4910

Interoperability endpoints

  • Direct secure messaging: strichardsclinic.chibuikeobioha@160908.advancedmd-direct.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1114160496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 SOCIALVILLE FOSTER RD STE 10",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406805",
            "telephone_number": "513-306-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4834 SOCIALVILLE FOSTER RD STE 10",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406805",
            "telephone_number": "513-306-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIOHA",
        "first_name": "CHIBUIKE",
        "middle_name": "BRUNO",
        "name_prefix": "Dr.",
        "credential": "M.B.,B.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.132134",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.132134",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.132134",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "35.132134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.