Active NPI
Chinyere I Odeluga, MD
- Family Medicine Physician
- East Chicago, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01045992
- Practice address
- 915 West Chicago Avenue
East Chicago, IN 46312 - Phone
- (219) 397-6000
- Fax
- (219) 397-6358
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041278213 | IL | |
| Family Medicine Physician | 207Q00000X | 01045992 | IN | Primary |
| Family Medicine Physician | 207Q00000X | 036092321 | IL | |
| General Practice Physician | 208D00000X | 01045992 | IN | |
| General Practice Physician | 208D00000X | 036092321 | IL |
Addresses
Primary practice location
915 West Chicago Avenue
East Chicago, IN 46312
Mailing address
915 W Chicago Ave
East Chicago, IN 46312-3308
Phone (219) 397-6000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10784830 | Other | LAQH | |
| 080148349 | Other | PALMETO GBA MEDICAL | |
| 01045992 | Other | IN | LICENSE BOARD |
| 036092321 | Other | IL | LICENSE BOARD |
| 000000093249 | Other | ANTHEM BC BS | |
| 200118940 | Medicaid | IN |
Other names 1
- Chinyere I Obinwa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
200 E 86TH PL
Merrillville, IN 46410-6258
Hospital & facility affiliations
- Methodist Hospitals Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.64 of 100
- Quality
- 56.64
- Promoting interoperability
- 73
- Improvement activities
- 40
- Cost
- 76.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041278213 | IL | MD | Registered Nurse |
| 01045992 | IN | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Chikare Health Services Inc | Family Medicine | Current | Accepting new patients |
| Chikare Health System PC | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients |
Locations
27350 Network Pl
Chicago, IL 60673
915 W Chicago Ave
East Chicago, IN 46312
Phone (219) 397-6000
2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081
4844 Broadway
Gary, IN 46408
Phone (219) 884-2400
200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750
311 E 89th Ave
Merrillville, IN 46410
Phone (219) 769-6639
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- East Chicago, IN
- NPI 1043375934
Family Medicine
-
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1285298067
-
- Neurology Physician
- Gary, IN
- NPI 1720290588
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1316002181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 W CHICAGO AVE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123308",
"telephone_number": "219-397-6000",
"fax_number": "219-397-6358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 WEST CHICAGO AVENUE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "46312",
"telephone_number": "219-397-6000",
"fax_number": "219-397-6358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODELUGA",
"first_name": "CHINYERE",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041278213",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01045992",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036092321",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01045992",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "036092321",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAQH",
"identifier": "10784830",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETO GBA MEDICAL",
"identifier": "080148349",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE BOARD",
"identifier": "01045992",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE BOARD",
"identifier": "036092321",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "000000093249",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200118940",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHINYERE",
"last_name": "OBINWA",
"middle_name": "I",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Chicago, IN
- Northwest Procedures Medical Center and Immediate Care Centers
- Northwest Procedures Medical Centers and Immediate Care Centers
- Nwi Home Doctor and Pain Management LLC
- Nwi Home Doctor LLC
- Occupational Health Centers of the Southwest PA
- Irene Odeluga, MS RN FNP - BC
- Kanayo K Odeluga, MD, MPH
- Patricia Ogden, RN MSN NPC
- Oyebamiji Ohu, PMHNP-BC
- Okolocha Medical Pain & Weight Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.