Individual provider Active NPI

Iheanacho Emeruwa, M.D.

  • Obstetrics Physician
  • Riverside, CA
National Provider Identifier
1609871227
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A41038 Issued in CA
Practice address
9041 Magnolia Ave
Suite 305
Riverside, CA 92503-3900
Phone
(951) 343-3477
Fax
(951) 347-8343
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A41038 CA
Obstetrics Physician 207VX0000X A41038 CA Primary

Addresses

Primary practice location

9041 Magnolia Ave
Suite 305
Riverside, CA 92503-3900

Mailing address

9041 Magnolia Ave
Suite 305
Riverside, CA 92503-3900
Phone (951) 343-3477

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ28499ZOtherCAMEDICARE PTAN #
00A410380MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040419001645 CA Practitioner - Obstetrics/GynecologyPractitioner - Internal Medicine 2264334077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Internal Medicine
Education
Howard University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aspen Medical Group IncGroup PAC ID 3072500701, 3 clinicians

Practice addresses (Care Compare)

9041 Magnolia Ave
Suite 305
Riverside, CA 92503-3957
Phone (951) 343-3477

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Group, Inc. CurrentSince Jul 4, 2021 Accepting new patients
Aspen Medical Group, Inc. Internal Medicine Current Accepting new patients
Aspen Medical Group, Inc. Internal Medicine CurrentSince Jan 31, 2004 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Aspen Medical Group, Inc Internal Medicine Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Regents of the University of California Past Accepting new patients
Palomar Health Past Accepting new patients

Locations

760 Washburn Ave
Ste 21
Corona, CA 92882
Phone (909) 371-6979

341 Magnolia Ave
Ste 201
Corona, CA 92879
Phone (951) 735-6969

900 S Main St
Ste 209
Corona, CA 92882
Phone (909) 371-1777

File 50978
Los Angeles, CA 90074

11441 Heacock St
Ste B1
Moreno Valley, CA 92557
Phone (909) 924-1906

11441 Heacock St
Moreno Valley, CA 92557
Phone (909) 360-8352

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

9041 Magnolia Ave
Riverside, CA 92503
Phone (909) 792-6080

9041 Magnolia Ave
Ste 305
Riverside, CA 92503
Phone (951) 343-3477

4000 14th St
Ste 401
Riverside, CA 92501
Phone (909) 788-6012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: emeruwa.iheanacho.001.0050260@amg.meditab.direct-ci.com

Organizations & group practices 9

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 1

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1609871227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE",
            "address_2": "SUITE 305",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033900",
            "telephone_number": "951-343-3477",
            "fax_number": "951-347-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE",
            "address_2": "SUITE 305",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033900",
            "telephone_number": "951-343-3477",
            "fax_number": "951-347-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERUWA",
        "first_name": "IHEANACHO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A41038",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A41038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN #",
            "identifier": "ZZZ28499Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A410380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.