Iheanyichukwu Aja-Onu, M.D.
Individual provider Active NPI Gastroenterology Physician · Freeport, NY
NPI 1720077944 · NPPES record last updated Jan 5, 2021
Key facts
- NPI
- 1720077944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 203413 (NY)
- Practice address
- 3 N Main St
Freeport, NY 11520-2218 - Phone
- (516) 623-5076
- Fax
- (516) 623-5076
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- State University of New York Downstate Medical Center, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 N Main St
Freeport, NY 11520-2218
Phone (516) 623-5076
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (516) 623-5076
Hospital & facility affiliations
- Mercy Medical Center
- St John'S Episcopal Hospital at South Shore
- Mount Sinai South Nassau
- Long Island Jewish Medical Center
- Mercy Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.29 of 100
- Quality
- 80.38
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 249 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 442 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040907001363 | NY | Practitioner - Gastroenterology |
5496721870 | Practice locations: Far Rockaway, NY; Freeport, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Kidney Group | Current |
Accepting new patients | |
| Main Street Dialysis Center LLC | Current |
Accepting new patients | |
| Peninsula Medical Services PC | Past | Accepting new patients |
Locations
3 N Main St
Fl 2
Freeport, NY 11520
Phone (718) 464-6700
3 N Main St
Freeport, NY 11520
Phone (516) 623-5076
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DDHHBA/Endpoint/DDHHBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 203413 | NY | Yes |
Addresses
Primary practice location
3 N Main St
Freeport, NY 11520-2218
Mailing address
PO Box 37216
Elmont, NY 11003-7216
Phone (516) 623-5076
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01956665 | Medicaid | NY |
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All providers in Freeport, NY · Gastroenterology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.