NPIMap

Individual provider Active NPI

Chimezie C Amanambu, M.D.

  • Internal Medicine Physician
  • Akron, OH
National Provider Identifier
1174537138
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35070725 Issued in OH
Practice address
1655 W Market St Ste L
Akron, OH 44313-7021
Phone
(330) 375-0000
Fax
(330) 375-0002
NPI assigned
Jul 27, 2006
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35070725 OH Primary

Addresses

Primary practice location

1655 W Market St Ste L
Akron, OH 44313-7021

Mailing address

852 Cricket Cir
Akron, OH 44333-2743
Phone (330) 375-0000

Other identifiers 1

IdentifierTypeStateIssuer
0297834MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080501000383 OH Practitioner - Internal Medicine 8628157609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Medical Management LLCGroup PAC ID 1052843927, 12 clinicians

Practice addresses (Care Compare)

24579 Broadway Ave
Oakwood Village, OH 44146-6338
Phone (800) 423-6078

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35070725OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Company, LLC PastSince Oct 28, 2011 Accepting new patients
Merriman Operations LLC Past Accepting new patients
Buckeye Forest at Akron LLC Past Accepting new patients
Heritage Ohio Leasing Co., LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12597/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 8

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1174537138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 CRICKET CIR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332743",
            "telephone_number": "330-375-0000",
            "fax_number": "330-375-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 W MARKET ST STE L",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137021",
            "telephone_number": "330-375-0000",
            "fax_number": "330-375-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANAMBU",
        "first_name": "CHIMEZIE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35070725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0297834",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.