Active NPI
Shirlene Yaa Gyanowa Obuobi, MD
- Cardiovascular Disease Physician
- East Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD19750
- Practice address
- 950 Warren Ave Ste 201
East Providence, RI 02914-1432 - Phone
- (401) 606-1004
- NPI assigned
- Jun 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.072456 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | MD19750 | RI | Primary |
Addresses
Primary practice location
950 Warren Ave Ste 201
East Providence, RI 02914-1432
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779
Other practice location 1
5841 S Maryland Ave Ste Mc7082
Chicago, IL 60637-1465
Phone (773) 795-0232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Chicago, Pritzker School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000
950 Warren Ave
FL 2
East Providence, RI 02914-1432
Phone (401) 606-1004
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.072456 | IL | MD | Internal Medicine Physician |
| MD19750 | RI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Single Specialty | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Single Specialty | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| The Miriam Hospital | Single Specialty | Current | Accepting new patients |
| The Miriam Hospital | Single Specialty | Current | Accepting new patients |
| Rhode Island Hospital | Current | Accepting new patients | |
| The Miriam Hospital | Single Specialty | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Single Specialty | Past | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
1454 S County Trl
Ste 2200
East Greenwich, RI 02818
Phone (401) 444-8516
950 Warren Ave
Ste 201
East Providence, RI 02914
Phone (855) 332-8474
950 Warren Ave
Fl 2
East Providence, RI 02914
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
407 East Ave
Ste 130
Pawtucket, RI 02860
Phone (401) 475-2505
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
593 Eddy St
Providence, RI 02903
146 W River St
#11A
Providence, RI 02904
Phone (401) 606-8250
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
208 Collyer St
Ste 100
Providence, RI 02904
Phone (401) 793-7191
593 Eddy St
Bldg 1ST
Providence, RI 02903
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.
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
Single Specialty
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Providence, RI
- NPI 1962844795
Single Specialty
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Cardiac Rehabilitation Clinic/Center
- East Greenwich, RI
- NPI 1518482389
-
dba The Men's Health Center
- Adult Medicine Physician
- Providence, RI
- NPI 1831362813
Single Specialty
-
dba Brown Health Medical Group
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
Single Specialty
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kent County Hospital Rehab Unit
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1255825386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541",
"telephone_number": "401-444-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 WARREN AVE STE 201",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029141432",
"telephone_number": "401-606-1004"
}
],
"practiceLocations": [
{
"address_1": "5841 S Maryland Ave Ste Mc7082",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371465",
"country_code": "US",
"telephone_number": "773-795-0232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBUOBI",
"first_name": "SHIRLENE",
"middle_name": "YAA GYANOWA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-21",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.072456",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "RI",
"license": "MD19750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.