Chidimma Uche Abanulo, M.D.
Individual provider Active NPI Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Hillsboro, OR
NPI 1386955037 · NPPES record last updated Jul 27, 2024
Key facts
- NPI
- 1386955037
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X
- License
- MD187711 (OR)
- Practice address
- 5289 NE Elam Young Pkwy Ste 150
Hillsboro, OR 97124-7551 - Phone
- (971) 353-4925
- Fax
- (971) 353-4926
- NPI assigned
- Jun 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- George Washington University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Chidimma Abanulo, MD, LLC
Practice addresses (Care Compare)
5289 NE Elam Young Pkwy
Suite 150
Hillsboro, OR 97124-7551
Phone (971) 353-4925
Hospital & facility affiliations
- Lower Umpqua Hospital District
- Legacy Meridian Park Medical Center
- Providence St Vincent Medical Center
- Legacy Good Samaritan Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181212002314 | OR | Practitioner - Obstetrics/Gynecology | 3173741931 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD187711 | OR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Umpqua Hospital District | Current | Accepting new patients | |
| Lower Umpqua Hospital District | Current |
Accepting new patients | |
| Chidimma Abanulo, MD, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Lower Umpqua Hospital District | Current |
Accepting new patients | |
| Pacific Imaging Associates LLC | Past |
Accepting new patients | |
| Northwest Urology, LLC | Past | Accepting new patients | |
| Lower Umpqua Hospital District | Past | Accepting new patients |
Locations
5289 NE Elam Young Pkwy
Ste 150
Hillsboro, OR 97124
Phone (971) 353-4925
385 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2119
600 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2171
Interoperability endpoints
- chidimma.abanulo.1@31272.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD187711 | OR | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | MD187711 | OR | Yes |
Addresses
Primary practice location
5289 NE Elam Young Pkwy Ste 150
Hillsboro, OR 97124-7551
Mailing address
14852 NW Deerfoot LN
Portland, OR 97229-1552
Phone (404) 394-0493
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500752674 | Medicaid | OR |
Other names
- Chidimma Uche Eto
Other providers in Hillsboro, OR
- A&M Enterprises LLC
- Aac4Kids
- Gail Lynn Aamodt
- Taylor Aasland
- Aayra Dental LLC
- Erum Mansoor Abbas
- Abbas Abbaspour
- Kayla Abbatello
- Abc Optometric PC
- Adrienne Elyse Abela
All providers in Hillsboro, OR · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.