Active NPI
Ebelechukwu Chris Nnoli, M.D.
- Obstetrics & Gynecology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME168693
- Practice address
- 14710 Bruce B Downs Blvd
Tampa, FL 33613-2800 - Phone
- (813) 738-6691
- Fax
- (813) 816-0327
- NPI assigned
- Apr 30, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35.128704 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 63227 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | ME168693 | FL | Primary |
Addresses
Primary practice location
14710 Bruce B Downs Blvd
Tampa, FL 33613-2800
Mailing address
4439 State Route 159 Ste 120
Chillicothe, OH 45601-8207
Phone (740) 779-7201
Other practice location 1
4439 State Route 159 Ste 120
Chillicothe, OH 45601-8207
Phone (740) 779-7201
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adena.obgyn@adena.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
14710 Bruce B Downs Blvd
Tampa, FL 33613-2800
Phone (813) 738-6691
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7075
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.93 of 100
- Quality
- 64.42
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME168693 | FL | MD | Obstetrics & Gynecology Physician |
| 63227 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| DHP of Manatee PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Adena Medical Group LLC | Current | Accepting new patients |
Locations
505 Oakfield Dr
Brandon, FL 33511
Phone (813) 676-2273
1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
4503 N 22nd St
Tampa, FL 33610
Phone (813) 738-6684
2701 W Mlk Blvd
Tampa, FL 33607
Phone (813) 738-6690
13601 Bruce B Downs Blvd
Ste 260
Tampa, FL 33613
14710 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 738-6691
3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010
4439 State Route 159
Ste 120
Chillicothe, OH 45601
Phone (740) 779-7201
4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- ennoli1060710@direct.osumc.edu
- ennoli3491808@adventhealth.direct-ci.com
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.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Mangonia Park, FL
- NPI 1134771611
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1235468083
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1770841561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4439 STATE ROUTE 159 STE 120",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018207",
"telephone_number": "740-779-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14710 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336132800",
"telephone_number": "813-738-6691",
"fax_number": "813-816-0327"
}
],
"practiceLocations": [
{
"address_1": "4439 State Route 159 Ste 120",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456018207",
"country_code": "US",
"telephone_number": "740-779-7201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NNOLI",
"first_name": "EBELECHUKWU",
"middle_name": "CHRIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-30",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35.128704",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "63227",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME168693",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adena.obgyn@adena.medicity.net",
"affiliation": "N",
"address_1": "4439 State Route 159 Ste 120",
"city": "Chillicothe",
"state": "OH",
"country_code": "US",
"postal_code": "456018207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.