Individual provider Active NPI

Obinna Ifeanyichukwu Moneme, M.D.

  • Neurology Physician
  • Columbus, OH
National Provider Identifier
1316168743
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35.091171 Issued in OH
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

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3123328MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
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, MO5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20110714000445 OH Practitioner - Neurology 0648448894 Reassigns benefits to 2 organizations
I20160721002294 ME Practitioner - Neurology 0648448894 Reassigns benefits to 2 organizations
I20241010003245 PA Practitioner - Neurology 0648448894 Reassigns benefits to 5 organizations
I20241202002509 IN Practitioner - Neurology 0648448894 Reassigns benefits to 1 organization
I20250211003257 MO Practitioner - Neurology 0648448894 Reassigns benefits to 1 organization

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
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians
St Joseph HospitalGroup PAC ID 6406766336, 197 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
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

LicenseStateTypeSpecialty
01094330AINMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Delta Medical Center Neurology CurrentSince Nov 28, 2024 Accepting new patients
Fulton County Medical Center CurrentSince Nov 1, 2024 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Dec 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Nov 1, 2024 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Dec 1, 2025 Accepting new patients
Ohio Physician Professional Corporation CurrentSince Jul 23, 2022 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Nov 1, 2024 Accepting new patients
St. Joseph Hospital CurrentSince May 21, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Nov 1, 2024 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Nov 1, 2024 Accepting new patients
St. Joseph Medical Group Neurology CurrentSince Nov 1, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 31, 2011 Accepting new patients
St. Joseph Medical Group CurrentSince Nov 1, 2024 Accepting new patients
Fulton County Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 31, 2011 Accepting new patients
Missouri Delta Medical Center CurrentSince Nov 28, 2024 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Feb 28, 2025 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.

View all 21

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.