Individual provider Active NPI

Adaobi Nwaneshiudu Obasi, M.D.

  • Dermatopathology Physician
  • Laredo, TX
National Provider Identifier
1831417211
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
Q9871 Issued in TX
Practice address
1601 Jacaman Rd Ste 101
Laredo, TX 78041-6271
Phone
(956) 608-3071
Fax
(956) 608-3033
NPI assigned
May 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X MD453983 PA
Dermatopathology Physician 207ND0900X 036.134644 IL
Dermatopathology Physician 207ND0900X Q9871 TX Primary

Addresses

Primary practice location

1601 Jacaman Rd Ste 101
Laredo, TX 78041-6271

Mailing address

1601 Jacaman Rd Ste 101
Laredo, TX 78041-6271
Phone (956) 608-3071

Other names 1

  • Dr. Adaobi I Nwaneshiudu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 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
I20151014000333 PA Practitioner - Dermatology 5991923435
I20161228000184 TX Practitioner - DermatologyPractitioner - Pathology 5991923435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Temple University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1601 Jacaman Rd
Suite 101
Laredo, TX 78041-6271
Phone (956) 608-3071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions76
Skin biopsy64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.134644ILMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Pathology Associates Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1831417211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 JACAMAN RD STE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416271",
            "telephone_number": "956-608-3071",
            "fax_number": "956-608-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 JACAMAN RD STE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416271",
            "telephone_number": "956-608-3071",
            "fax_number": "956-608-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBASI",
        "first_name": "ADAOBI",
        "middle_name": "NWANESHIUDU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "PA",
            "license": "MD453983",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "IL",
            "license": "036.134644",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "Q9871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADAOBI",
            "last_name": "NWANESHIUDU",
            "middle_name": "I",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.