Individual provider Active NPI

Chuba Bosa Ononye, M.D.

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1629026018
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23372 Issued in AZ
Practice address
6642 E. Baseline Rd, Suite 103
Mesa, AZ 85206
Phone
(480) 218-7800
Fax
(480) 912-2399
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23372 AZ Primary

Addresses

Primary practice location

6642 E. Baseline Rd, Suite 103
Mesa, AZ 85206

Mailing address

6642 E. Baseline Rd, Suite 103
Mesa, AZ 85206
Phone (480) 218-7800

Other identifiers 1

IdentifierTypeStateIssuer
341678MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20041013001009 AZ Practitioner - Internal Medicine 2668432790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6642 E Baseline Rd
Suite 103
Mesa, AZ 85206-4436
Phone (480) 912-3594

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Banner Heart Hospital Hospital, Mesa, AZ, CCN 030105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23372AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bendel Clinic PLLC Internal Medicine CurrentSince Aug 23, 2011 Accepting new patients
Banner Baywood Medical Center Past Accepting new patients
Kerry S Green MD PLC PastSince Jul 15, 2003 Accepting new patients

Locations

6553 E Baywood Ave
Ste 203
Mesa, AZ 85206
Phone (480) 218-7800

6642 E Baseline Rd
Ste 103
Mesa, AZ 85206
Phone (480) 218-7800

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 3

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1629026018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6642 E. BASELINE RD, SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-218-7800",
            "fax_number": "480-912-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6642 E. BASELINE RD, SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-218-7800",
            "fax_number": "480-912-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONONYE",
        "first_name": "CHUBA",
        "middle_name": "BOSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "23372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341678",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.