Chizoba C. Obi, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

P9423 Issued in TX

Practice address

2310 De Lee St Ste 100
Bryan, TX 77802-2815

Phone

(979) 485-9496

Fax

(979) 485-9497

NPI assigned

Jul 21, 2008

Last updated

Jul 23, 2023By the provider in NPPES

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 8

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nephrology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MRG Health Texas PLLCGroup PAC ID 6002354891, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Usrc Bryan Dialysis Dialysis facility, Bryan, TX, CCN 672656
• CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
• Baylor Scott & White Medical Center- College Stati Hospital, College Station, TX, CCN 670088
• Madison St Joseph Health Center Hospital, Madisonville, TX, CCN 451316

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bhkc.chizobaobi@149303.advancedmd-direct.com
• Direct secure messaging: cobi047@yourcarecommunity.org
• Direct secure messaging: cobi37758@shannonhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brazos Hypertension and Kidney Care PLLC

  • Nephrology Physician
  • Bryan, TX
  • NPI 1487133120
  Medicare reassignment NPD Authorized official
• MRG Health Texas PLLC

  • Clinical Informatics Physician
  • Houston, TX
  • NPI 1013779883
  Care Compare group NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dialysis Newco LLC

  dba U.S. Renal Care Bryan Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bryan, TX
  • NPI 1578839080

  Dialysis facility

  Care Compare affiliation Name & address match
• Madison St Joseph Health Center

  dba CHI St Joseph Health Madison Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Madisonville, TX
  • NPI 1033272398
  Care Compare affiliation
• Madison St Joseph Health Center

  dba CHI St Joseph Health Madison Hospital

  • Critical Access Hospital
  • Madisonville, TX
  • NPI 1780731737
  Care Compare affiliation
• Scott & White Hospital - College Station

  dba Baylor Scott & White Medical Center - College Station

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1265772362
  Care Compare affiliation
• St Joseph Regional Health Center

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1942294939
  Care Compare affiliation
• St. Joseph Regional Health Center

  dba CHI St. Joseph Health College Station Hospital

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1053963009
  Care Compare affiliation

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690070400000",
    "number": "1376708222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 DE LEE ST STE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022815",
            "telephone_number": "979-485-9496",
            "fax_number": "979-485-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 DE LEE ST STE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022815",
            "telephone_number": "979-485-9496",
            "fax_number": "979-485-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBI",
        "first_name": "CHIZOBA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2023-07-23",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P9423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339879412",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P02596718",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "431560263",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00985983",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376708222",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188674001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1J4970",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00985983",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oaks Medical Center PLLC
• Oakwood Counseling, P.L.L.C.
• OB/GYN Center Benson
• Oben Pharmacy Group LLC (GoldStar Long Term Care)
• Bessem Oben, PHARMD
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Sandra Oden
• Odyssey Healthcare Operating a LP (Odyssey HealthCare of Bryan College Station)
• Vincent Ugochukwu Ohaju
• Donna Ohde, FNP-C

• Nephrology Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2023; 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.