Active NPI
Obinna Ifeanyichukwu Moneme, M.D.
- Neurology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35.091171
- Practice address
- 1480 W Lane Ave
Columbus, OH 43221-3919 - Phone
- (614) 533-5500
- Fax
- (614) 533-5593
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01094330A | IN | |
| Neurology Physician | 2084N0400X | 35.091171 | OH | Primary |
Addresses
Primary practice location
1480 W Lane Ave
Columbus, OH 43221-3919
Mailing address
5350 Frantz Rd
Dublin, OH 43016-4259
Other practice location 1
2400 17th St
Columbus, IN 47201-5351
Phone (812) 376-5974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3123328 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | omoneme13786@direct.ohiohealth.com | OhioHealth Physician Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, ME, PA, IN, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Ohio State University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600
1120 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 533-4141
155 Wellness Way
State College, PA 16803-6797
Phone (814) 231-7000
2160 State Rd
Lancaster, PA 17601-1812
2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974
360 Broadway
Bangor, ME 04401-3979
Phone (207) 907-3650
503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 763-2100
931 Chatham LN
Suite 200
Columbus, OH 43221-2417
Phone (614) 533-5500
Hospital & facility affiliations
- Riverside Methodist Hospital
- Berger Hospital
- Grant Medical Center
- Grady Memorial Hospital
- Missouri Delta Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.97 of 100
- Quality
- 85.1
- Promoting interoperability
- 94.69
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01094330A | IN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Delta Medical Center | Neurology | Current | Accepting new patients |
| Fulton County Medical Center | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| Ohio Physician Professional Corporation | Current | Accepting new patients | |
| Columbus Regional Health Physicians, LLC | Current | Accepting new patients | |
| St. Joseph Hospital | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Columbus Regional Health Physicians, LLC | Current | Accepting new patients | |
| St. Joseph Medical Group | Neurology | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients | |
| St. Joseph Medical Group | Current | Accepting new patients | |
| Fulton County Medical Center | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Mount Nittany Medical Center Health Services Inc | Current | Accepting new patients | |
| Fulton County Medical Center | Past | Accepting new patients | |
| Columbus Regional Health Physicians, LLC | Past | Accepting new patients | |
| Fulton County Medical Center | Past | Accepting new patients |
Locations
2400 17th St
Columbus, IN 47201
Phone (812) 373-3025
360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703
360 Broadway
Ste 306
Bangor, ME 04401
Phone (207) 907-3650
99 Campus Ave
Ste 402
Lewiston, ME 04240
Phone (207) 777-4455
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
200 E State St
Alliance, OH 44601
Phone (330) 596-6000
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
Dept L3652
Columbus, OH 43260
931 Chatham Ln
Columbus, OH 43221
Phone (614) 451-3643
931 Chatham Ln
Ste 200
Columbus, OH 43221
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161
5350 Frantz Rd
Dublin, OH 43016
2021 Wales Ave NW
Massillon, OH 44646
Phone (330) 363-2180
6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200
832 S Main St
Orrville, OH 44667
Phone (330) 456-2695
1480 W Lane Ave
Upper Arlington, OH 43221
141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300
1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800
155 Wellness Way
State College, PA 16803
Phone (800) 367-0179
Organizations & group practices 21
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.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Internal Medicine Physician
- Columbus, IN
- NPI 1336510098
-
- Internal Medicine Physician
- State College, PA
- NPI 1598992554
-
- Hematology & Oncology Physician
- Harrisburg, PA
- NPI 1861988644
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
- Hospitalist Physician
- Canton, OH
- NPI 1417016973
-
- Critical Access Hospital
- MC Connellsburg, PA
- NPI 1326044694
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Family Medicine Physician
- Columbus, IN
- NPI 1740650225
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Delaware, OH
- NPI 1235174327
-
- General Acute Care Hospital
- Circleville, OH
- NPI 1326020447
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Sikeston, MO
- NPI 1831269539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1316168743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 FRANTZ RD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430164259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 W LANE AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432213919",
"telephone_number": "614-533-5500",
"fax_number": "614-533-5593"
}
],
"practiceLocations": [
{
"address_1": "2400 17th St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "IN",
"postal_code": "472015351",
"country_code": "US",
"telephone_number": "812-376-5974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONEME",
"first_name": "OBINNA",
"middle_name": "IFEANYICHUKWU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01094330A",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35.091171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3123328",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "omoneme13786@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group",
"address_1": "931 Chatham Ln",
"address_2": "Ste 200",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432212417",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.