Individual provider Active NPI

Chinyere I Odeluga, MD

  • Family Medicine Physician
  • East Chicago, IN
National Provider Identifier
1316002181
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01045992 Issued in IN
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

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10784830OtherLAQH
080148349OtherPALMETO GBA MEDICAL
01045992OtherINLICENSE BOARD
036092321OtherILLICENSE BOARD
000000093249OtherANTHEM BC BS
200118940MedicaidIN

Other names 1

  • Chinyere I Obinwa Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000213 IN Practitioner - Family Practice 0648466045 Reassigns benefits to 2 organizations

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 Hospital, Gary, IN, CCN 150002

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
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

LicenseStateTypeSpecialty
041278213ILMDRegistered Nurse
01045992INMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince Sep 9, 2017 Accepting new patients
Chikare Health Services Inc Family Medicine CurrentSince Dec 10, 2012 Accepting new patients
Chikare Health System PC CurrentSince Dec 24, 2019 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Sep 9, 2017 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.

Hospital & facility affiliations 1

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": "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

Sources for this page

Verify at the official NPI Registry.