Active NPI
Ekene Obinna Madu, B.A
- Military Health Care Provider
- Rio Rancho, NM
National Provider Identifier
1285523258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 1618646749
- Practice address
- 6565 Mountain Hawk Loop NE
Rio Rancho, NM 87144-7511 - Phone
- (505) 416-1951
- NPI assigned
- Jul 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 1618646749 | NM | Primary |
Addresses
Primary practice location
6565 Mountain Hawk Loop NE
Rio Rancho, NM 87144-7511
Mailing address
6565 Mountain Hawk Loop NE
Rio Rancho, NM 87144-7511
Phone (505) 416-1951
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)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1618646749 | NM | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1285523258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 MOUNTAIN HAWK LOOP NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871447511",
"telephone_number": "505-416-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 MOUNTAIN HAWK LOOP NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871447511",
"telephone_number": "505-416-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADU",
"first_name": "EKENE",
"middle_name": "OBINNA",
"credential": "B.A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-02",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "NM",
"license": "1618646749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.