Individual provider Active NPI

Ifeoma Onwubiko, M.D

  • Anatomic Pathology & Clinical Pathology Physician
  • Burlington, MA
National Provider Identifier
1396277760
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
15587-320 Issued in WI
Practice address
41 Mall Rd
Burlington, MA 01805-1005
Phone
(781) 744-8000
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036176288 IL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME157204 FL
Hematology (Pathology) Physician 207ZH0000X 1015109 MA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 15587-320 WI Primary
General Practice Physician 208D00000X ME157204 FL

Addresses

Primary practice location

41 Mall Rd
Burlington, MA 01805-1005

Mailing address

Provider Enrollment 41 Mall Road
Burlington, MA 01805-0001

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-1111

Other practice location 2

251 E Huron St Ste 7-132N
Chicago, IL 60611-2908
Phone (312) 926-1267

Other practice location 3

2799 W. Grand Boulevard
Henry Ford Hospital, Medical Education Department
Detroit, MI 48202-2608
Phone (313) 916-7389

Other identifiers 1

IdentifierTypeStateIssuer
1396277760MedicaidWI

Other names 1

  • Ifeoma Ndidi Ehilegbu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230530001755 MA Practitioner - Pathology 3274805551 Reassigns benefits to 2 organizations
I20240308000963 NH Practitioner - Pathology 3274805551
I20250929000594 IL Practitioner - Pathology 3274805551

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seacoast Pathology IncGroup PAC ID 0749224145, 5 clinicians

Practice addresses (Care Compare)

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1095

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036176288ILMDAnatomic Pathology & Clinical Pathology Physician
ME157204FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Pathology Inc CurrentSince Nov 1, 2025 Accepting new patients
Lahey Clinic, Inc Current Accepting new patients
Seacoast Pathology Inc. Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2025 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

1 Hampton Rd
Unit 307
Exeter, NH 03833
Phone (603) 778-8522

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1396277760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROVIDER ENROLLMENT 41 MALL ROAD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018051005",
            "telephone_number": "781-744-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 E Huron St Ste 7-132N",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112908",
            "country_code": "US",
            "telephone_number": "312-926-1267",
            "fax_number": "312-926-3127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2799 W. Grand Boulevard",
            "address_2": "Henry Ford Hospital, Medical Education Department",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-916-7389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONWUBIKO",
        "first_name": "IFEOMA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036176288",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME157204",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "MA",
            "license": "1015109",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WI",
            "license": "15587-320",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME157204",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396277760",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IFEOMA",
            "last_name": "EHILEGBU",
            "middle_name": "NDIDI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.