Individual provider Active NPI

Adaobi Cindy Nnaji, M.D

  • Family Medicine Physician
  • Bay Shore, NY
National Provider Identifier
1174985618
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S3726 Issued in TX
Practice address
301 E Main St
Bay Shore, NY 11706-8408
Phone
(631) 968-3295
NPI assigned
Mar 23, 2016
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X S3726 TX
Family Medicine Physician 207Q00000X S3726 TX Primary

Addresses

Primary practice location

301 E Main St
Bay Shore, NY 11706-8408

Mailing address

3370 Hazel TRL
Unit B
Woodbury, MN 55129-8384
Phone (612) 702-7909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200429000473 TX Practitioner - Emergency MedicinePractitioner - Family Practice 9335487875 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canyon Springs Emergency Medicine Associates PAGroup PAC ID 2769728641, 63 clinicians
Oak Creek Emergency Medicine Associates PAGroup PAC ID 4385988385, 70 clinicians
McAllen Emergency Medicine Associates PAGroup PAC ID 1557686409, 79 clinicians
Shavano Emergency Medicine Associates, PAGroup PAC ID 2062777634, 47 clinicians
Edinburg Emergency Medicine Associates PAGroup PAC ID 9638246408, 74 clinicians

Practice addresses (Care Compare)

140 Frontage Rd
Alamo, TX 78516-1602
Phone (956) 403-5100

3700 W Nolana Ave
McAllen, TX 78504-4884
Phone (956) 213-2700

435 W Ridge Rd
Pharr, TX 78577-1407
Phone (956) 403-5550

4702 S McColl Rd
Edinburg, TX 78539-8201
Phone (956) 213-2600

900 E Expressway
Suite 83
Mission, TX 78572-6131
Phone (956) 271-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.24 of 100Reported as group
Quality
73.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S3726TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Springs Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jan 19, 2021 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Shavano Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jan 19, 2021 Accepting new patients
Hospital Care Consultants of Corpus Christi Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Ess of South Texas LLC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
McAllen Emergency Medicine Associates PA Emergency Medicine CurrentSince Oct 5, 2024 Accepting new patients
Municipal Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jan 19, 2021 Accepting new patients
HCC of Fairfield LLC CurrentSince May 1, 2020 Accepting new patients
Ess of Fairfield LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Oak Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jan 19, 2021 Accepting new patients
Altus Exceptional Physician Group PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Ess of Nacogdoches LLC Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Hospital Care Consultants, Inc Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
Ess of Port Lavaca LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Edinburg Emergency Medicine Associates PA Emergency Medicine CurrentSince Jan 19, 2021 Accepting new patients
RFC Radiology Associates LLC Past Accepting new patients

Locations

140 Frontage Rd
Alamo, TX 78516
Phone (956) 403-5100

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

3615 N Interstate 69C
Edinburg, TX 78542
Phone (956) 259-2100

4702 S McColl Rd
Edinburg, TX 78539
Phone (956) 213-2600

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423

1535 West Loop S
Ste 450
Houston, TX 77027
Phone (832) 219-3833

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

3700 W Nolana Ave
McAllen, TX 78504
Phone (956) 213-2700

5100 W Expressway 83
McAllen, TX 78501
Phone (956) 928-7200

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

435 W Ridge Rd
Pharr, TX 78577
Phone (956) 403-5550

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

18600 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 404-0800

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Interoperability endpoints

  • Direct secure messaging: fmcannaji@yourcarecommunity.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1174985618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 HAZEL TRL",
            "address_2": "UNIT B",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551298384",
            "telephone_number": "612-702-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068408",
            "telephone_number": "631-968-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNAJI",
        "first_name": "ADAOBI",
        "middle_name": "CINDY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S3726",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.