NPIMap

Individual provider Active NPI

Obinna Nnaemeka Eruchalu, MD

  • Surgery Physician
  • Monroe, NC
National Provider Identifier
1194788042
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00-38331 Issued in NC
Practice address
907 Fitzgerald St
Monroe, NC 28112-5680
Phone
(704) 226-0531
Fax
(704) 292-7880
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 38331 NC
Vascular Surgery Physician 2086S0129X 38331 NC
Surgery Physician 208600000X 00-38331 NC Primary
Specialist 174400000X
Vascular & Interventional Radiology Physician 2085R0204X 38331 NC

Addresses

Primary practice location

907 Fitzgerald St
Monroe, NC 28112-5680

Mailing address

907 Fitzgerald St
Monroe, NC 28112-5680
Phone (704) 226-0531

Other practice location 1

2938 The Plz
Charlotte, NC 28205-2463
Phone (704) 375-0404

Other identifiers 3

IdentifierTypeStateIssuer
8930776MedicaidNC
10039OtherNCPARTNERS MEDICARE
1036LOtherNCBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040723000367 NC Practitioner - Vascular SurgeryPractitioner - General Surgery 6608788989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

907 Fitzgerald St
Monroe, NC 28112-5680
Phone (704) 226-0531

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00-38331NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Surgical Specialists, PLLC Specialist CurrentSince Jan 21, 2005 Accepting new patients
Premier Foot & Ankle Specialists PastSince Feb 16, 2005 Accepting new patients
Wendover Primary Care Clinic, PLLC PastSince Dec 18, 2016 Accepting new patients

Locations

2938 The Plaza
Charlotte, NC 28205
Phone (704) 375-0404

485 N Wendover Rd
Charlotte, NC 28211
Phone (704) 364-4216

907 Fitzgerald St
Monroe, NC 28112
Phone (704) 226-0531

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHFAAA/Endpoint/GHFAAA
  • FHIR API: https://api.platform.athenahealth.com/22236/brand/1/csg/1/fhir/r4
  • Direct secure messaging: oeruchalu499438@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

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 11

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1194788042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 FITZGERALD ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125680",
            "telephone_number": "704-226-0531",
            "fax_number": "704-292-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 FITZGERALD ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125680",
            "telephone_number": "704-226-0531",
            "fax_number": "704-292-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2938 The Plz",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282052463",
            "country_code": "US",
            "telephone_number": "704-375-0404",
            "fax_number": "704-375-0705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERUCHALU",
        "first_name": "OBINNA",
        "middle_name": "NNAEMEKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-08-22",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NC",
            "license": "38331",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": "38331",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "00-38331",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "38331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8930776",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "10039",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1036L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.