Individual provider Active NPI

Ebelechukwu Chris Nnoli, M.D.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1770841561
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME168693 Issued in FL
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

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address adena.obgyn@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 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
I20160922002432 OH Practitioner - Obstetrics/Gynecology 2163719824 Reassigns benefits to 1 organization
I20240717003715 FL Practitioner - Obstetrics/Gynecology 2163719824 Reassigns benefits to 2 organizations

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
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
ME168693FLMDObstetrics & Gynecology Physician
63227NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Obstetrics & Gynecology CurrentSince Nov 18, 2024 Accepting new patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Sep 2, 2024 Accepting new patients
Adena Medical Group LLC CurrentSince Aug 1, 2016 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

  • Direct secure messaging: ennoli1060710@direct.osumc.edu
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.