Individual provider Active NPI

Izuchukwu Azubike Obi, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Manassas, VA
National Provider Identifier
1710150362
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
0101243115 Issued in VA
Practice address
8700 Sudley Rd
Manassas, VA 20110-4418
Phone
(703) 396-5292
Fax
(703) 396-5297
NPI assigned
Apr 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101243115 VA
Hospitalist Physician 208M00000X 0101243115 VA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101243115 VA Primary

Addresses

Primary practice location

8700 Sudley Rd
Manassas, VA 20110-4418

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (703) 396-5292

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address iobi307047@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090610000006 DC Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7517028756 Reassigns benefits to 3 organizations
I20090618000088 VA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Pulmonary Disease 7517028756 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine, Pulmonary Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uva Community Health Medical Group LLCGroup PAC ID 4688587967, 339 clinicians

Practice addresses (Care Compare)

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (614) 886-3728

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (614) 886-3728

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 396-5292

Hospital & facility affiliations

  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144
  • Uva Health Culpeper Medical Center Hospital, Culpeper, VA, CCN 490019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Pulmonary and Critical Care Solutions Inc Critical Care Medicine CurrentSince May 11, 2016 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jul 1, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jul 1, 2020 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jul 1, 2017 Accepting new patients
Medstar Southern Maryland Physicians, LLC Past Accepting new patients
Hospitalist Medicine Physicians of Wisconsin Rapids LTD Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Front Royal, LLC Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Wisconsin, LTD Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Baltimore City, P.C. Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

7501 Surratts Rd
Ste 104
Clinton, MD 20735
Phone (301) 877-4689

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

10 Saint Patricks Dr
#202
Waldorf, MD 20603
Phone (301) 396-8071

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Interoperability endpoints

  • Direct secure messaging: izuchukwu.obi@hca4.eclinicaldirectplus.com
  • Direct secure messaging: iobi307047@direct.novanthealth.org

Organizations & group practices 15

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.

View all 15

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": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1710150362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "703-396-5292",
            "fax_number": "703-396-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104418",
            "telephone_number": "703-396-5292",
            "fax_number": "703-396-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBI",
        "first_name": "IZUCHUKWU",
        "middle_name": "AZUBIKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-03",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101243115",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101243115",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101243115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iobi307047@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8700 Sudley Rd",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201104418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.