Individual provider Active NPI

Chibuzo Clement Odigwe, MD

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1235570375
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1026720 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(617) 724-9674
NPI assigned
Jul 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 1026720 MA
Pulmonary Disease Physician 207RP1001X 37993 AL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 37993 AL
Pulmonary Disease Physician 207RP1001X 1026720 MA
Internal Medicine Physician 207R00000X 1026720 MA Primary
Internal Medicine Physician 207R00000X 125.063530 IL

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

PO Box 746450
Atlanta, GA 30374-6450
Phone (800) 401-3057

Other practice location 1

2451 University Hospital Drive
Mastin 102
Mobile, AL 36617-2300
Phone (251) 470-5890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190618003808 AL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1850625278 Reassigns benefits to 4 organizations
I20240826002605 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1850625278 Reassigns benefits to 1 organization
I20250312001947 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1850625278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
USA Health Physician Billing Services LLCGroup PAC ID 9931436912, 342 clinicians
Ccmma SC LLCGroup PAC ID 7911242201, 17 clinicians

Practice addresses (Care Compare)

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

9580 Estate Dr S
Mobile, AL 36695-9739
Phone (845) 702-2711

Hospital & facility affiliations

  • USA Health University Hospital Hospital, Mobile, AL, CCN 010087
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.063530ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Infirmary Association Current Accepting new patients
USA Health Physician Billing Services LLC Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jul 1, 2019 Accepting new patients
Ccmma SC LLC Critical Care Medicine CurrentSince Jul 1, 2024 Accepting new patients
Ccmma Ca PC Critical Care Medicine CurrentSince Jul 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jun 1, 2025 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

2451 University Hospital Dr
#102
Mobile, AL 36617
Phone (251) 470-5890

1720 Spring Hill Ave
Ste 401
Mobile, AL 36604
Phone (251) 210-3250

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

55 Fruit St
Boston, MA 02114

120 N Delaware St
Sandusky, MI 48471
Phone (810) 648-3770

201 W Road Mize Rd
Blue Springs, MO 64014
Phone (816) 228-5900

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: codigwe81620@directinfirmaryhealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1235570375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746450",
            "telephone_number": "800-401-3057",
            "fax_number": "318-868-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-9674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 University Hospital Drive",
            "address_2": "Mastin 102",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366172300",
            "country_code": "US",
            "telephone_number": "251-470-5890",
            "fax_number": "251-471-7925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODIGWE",
        "first_name": "CHIBUZO",
        "middle_name": "CLEMENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "1026720",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "37993",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AL",
            "license": "37993",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "1026720",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "1026720",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.063530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.