Obinna Chukwudi Igwilo, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

200100381 Issued in NC

Practice address

7300 S Raeford Rd RM 2528
Fayetteville, NC 28304-6162

Phone

(910) 475-6373

NPI assigned

Feb 27, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Carolina Surgical Specialists, PA

  • Surgery Physician
  • Fayetteville, NC
  • NPI 1457335507
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1790954352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87126",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047126",
            "telephone_number": "910-426-2224",
            "fax_number": "910-826-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 S RAEFORD RD RM 2528",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283046162",
            "telephone_number": "910-475-6373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Walter Reed Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044430",
            "country_code": "US",
            "telephone_number": "910-426-2224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGWILO",
        "first_name": "OBINNA",
        "middle_name": "CHUKWUDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200100381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89128RX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ican & Associates, Inc.
• Ican & Associates, Inc.
• Id Care(R) - Infectious Diseases Specialty Practice PA
• Idalia Community Health Services
• Rachael Igbenehi
• Uju Ike, MSW, LCSWA
• Sarah Ikediashi
• Christopher Dean Imber, M. D.
• Theophilus Imbufe, DHA
• Improving Life, Inc

• Surgery Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.