Active NPI
Rowland O. Mbaoma, M.D.
- Hematology & Oncology Physician
- Munster, IN
National Provider Identifier
1174562151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 01060241A
- Practice address
- 701 Superior Ave
Franciscan Physicians Hospital
Munster, IN 46321-4037 - Phone
- (219) 922-4081
- Fax
- (219) 922-5880
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 01060241A | IN | Primary |
Addresses
Primary practice location
701 Superior Ave
Franciscan Physicians Hospital
Munster, IN 46321-4037
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200524370 | Medicaid | IN | |
| 463060U5 | Other | IN | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmbaoma64247@Direct.FranciscanAlliance.org | Direct |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01060241A | IN | MD | Hematology & Oncology Physician |
Interoperability endpoints
- rmbaoma64247@direct.franciscanalliance.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615593600000",
"number": "1174562151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SUPERIOR AVE",
"address_2": "FRANCISCAN PHYSICIANS HOSPITAL",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463214037",
"telephone_number": "219-922-4081",
"fax_number": "219-922-5880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAOMA",
"first_name": "ROWLAND",
"middle_name": "O.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2021-03-13",
"certification_date": "2021-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01060241A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200524370",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "463060U5",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmbaoma64247@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "701 Superior Ave",
"address_2": "Franciscan Physicians Hospital",
"city": "Munster",
"state": "IN",
"country_code": "US",
"postal_code": "463214037",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.