Individual provider Active NPI

Steve Omoruyi Obanor, M.B.B.S.

  • Gastroenterology Physician
  • Waterloo, IA
National Provider Identifier
1457872327
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
53281 Issued in IA
Practice address
3421 W 9TH St Ste 410
Waterloo, IA 50702-5401
Phone
(319) 272-7325
NPI assigned
Jun 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 53281 IA Primary

Addresses

Primary practice location

3421 W 9TH St Ste 410
Waterloo, IA 50702-5401

Mailing address

3421 W 9TH St Ste 410
Waterloo, IA 50702-5401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20241010001665 IA Practitioner - GastroenterologyPractitioner - Internal Medicine 9032641485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800

2710 Saint Francis Dr
Waterloo, IA 50702-5619
Phone (319) 272-5000

2710 Saint Francis Dr
Suite 104
Waterloo, IA 50702-5633
Phone (319) 272-5000

3421 W 9TH St
Waterloo, IA 50702-5401

515 College St
Cedar Falls, IA 50613-2500

516 Division St
Suite 110
Cedar Falls, IA 50613-2381
Phone (319) 268-3550

516 S Division St
Cedar Falls, IA 50613-2381

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy94
Upper gastrointestinal (GI) endoscopy for acid reflux99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53281IAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center Inc CurrentSince Sep 23, 2024 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Sep 23, 2024 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

751 Main St
Arlington, IA 50606
Phone (563) 633-6965

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

516 Division St
Ste 110
Cedar Falls, IA 50613
Phone (319) 268-3550

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

3421 W 9th St
Ste 410
Waterloo, IA 50702
Phone (319) 272-7325

2710 Saint Francis Dr
Ste 104
Waterloo, IA 50702
Phone (319) 272-6733

Interoperability endpoints

  • Direct secure messaging: sobanor3935726@direct.trinity-health.org

Organizations & group practices 3

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 4

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1457872327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 W 9TH ST STE 410",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 W 9TH ST STE 410",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025401",
            "telephone_number": "319-272-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBANOR",
        "first_name": "STEVE",
        "middle_name": "OMORUYI",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "53281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.