Emmanuel O Edosomwan-Eigbe, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2009-01629 Issued in NC

Practice address

1805 Milton Rd
Charlotte, NC 28215-2437

Phone

(704) 535-0400

Fax

(704) 535-3443

NPI assigned

Sep 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emmanuel Edsomwan Professional name

Medicare fee-for-service enrollment

Enrolled in SC, NC2 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 2

Specialty

Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emmanueledosomwan-eigbe@ubmc-nc.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• UC Best Medical Center P C

  • Internal Medicine Physician
  • Monroe, NC
  • NPI 1174280895

  Internal Medicine, NC

  Medicare reassignment NPD Authorized official
• Americare Health

  • Internal Medicine Physician
  • Wadesboro, NC
  • NPI 1487667226

  Internal Medicine, NC

  Medicare reassignment NPD
• Carolinas Physicians Network Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charlotte, NC
  • NPI 1477878890

  NC

  Medicare reassignment NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1356314272

  Internal Medicine, NC

  Medicare reassignment NPD
• Americare Health, PC

  • Family Medicine Physician
  • Pageland, SC
  • NPI 1184637902

  Internal Medicine, SC

  Medicare reassignment NPD
• Apogee Medical Group North Carolina

  • Hospitalist Physician
  • Scottsdale, AZ
  • NPI 1043518228

  NC

  Medicare reassignment NPD
• The Charlotte-Mecklenburg Hospital Authority

  • Medical Oncology Physician
  • Indian Land, SC
  • NPI 1669738829

  Internal Medicine, NC

  Medicare reassignment NPD
• Americare Ehalth

  • Internal Medicine Physician
  • Marshville, NC
  • NPI 1104839935

  Internal Medicine

  NPD
• Americare Health

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1528071453

  Internal Medicine

  NPD
• Americare Health, PC

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1881607893

  Internal Medicine

  NPD
• Carolinas Physicians Network Inc

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1144336587
  NPD
• Carolinas Physicians Network Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1437038544
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1336397306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 MILTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152437",
            "telephone_number": "704-535-0400",
            "fax_number": "704-535-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 MILTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152437",
            "telephone_number": "704-535-0400",
            "fax_number": "704-535-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOSOMWAN-EIGBE",
        "first_name": "EMMANUEL",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2009-01629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913749",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMANUEL",
            "last_name": "EDSOMWAN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maggie Lean Edmonds
• Jimel Edmunds
• Margaret Briggs Edmunds
• Marian Edmunds
• Arina Edmundson, MA, LPA
• Kevin Cliff Edouard, LCSW
• Sudha M Edpuganti
• Janet L Edsell, SLP
• Educare Community Living Corporation - North Carolina
• Educare Community Living Corporation - North Carolina

• All providers in Charlotte, NC
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.

Verify at the official NPI Registry.