Individual provider Active NPI

Immanuel T Oby

  • Case Manager/Care Coordinator
  • Madison, WI
National Provider Identifier
1114730801
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2701 International LN Ste 201
Madison, WI 53704-3126
Phone
(608) 268-6530
NPI assigned
Jan 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2701 International LN Ste 201
Madison, WI 53704-3126

Mailing address

815 Forward Dr
Madison, WI 53711-2443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anesis Foundation for Mental Health Inc. CurrentSince Feb 24, 2026 Accepting new patients
Anesis Center for Marriage and Family Therapy CurrentSince Feb 2, 2025 Accepting new patients

Locations

2701 International Ln
Ste 201
Madison, WI 53704
Phone (608) 268-6530

815 Forward Dr
Madison, WI 53711
Phone (608) 268-6530

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1114730801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 FORWARD DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 INTERNATIONAL LN STE 201",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043126",
            "telephone_number": "608-268-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBY",
        "first_name": "IMMANUEL",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.