Organization Active NPI

Metrolina Surgical Specialists, PLLC

  • Specialist
  • Monroe, NC
National Provider Identifier
1871551911
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
METROLINA SURGICAL SPECIALISTS, PLLC
Practice address
907 Fitzgerald St
Monroe, NC 28112-5680
Phone
(704) 226-0531
Fax
(704) 292-7880
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
Obinna Nnaemka Eruchalu, MDNPI 1194788042
Title
Managing Member
Phone
(704) 375-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

907 Fitzgerald St
Monroe, NC 28112-5680

Mailing address

PO Box 49092
Charlotte, NC 28277-0073
Phone (704) 375-0404

Other practice location 1

2938 The Plz
Charlotte, NC 28205-2463
Phone (704) 375-0404

Other identifiers 3

IdentifierTypeStateIssuer
8930776MedicaidNC
10039OtherNCPARTNERS MEDICARE
1036LOtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050307000496 NC Part B Supplier - Clinic/Group Practice 3577517168 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1871551911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49092",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770073",
            "telephone_number": "704-375-0404",
            "fax_number": "704-375-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 FITZGERALD ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125680",
            "telephone_number": "704-226-0531",
            "fax_number": "704-292-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2938 The Plz",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282052463",
            "country_code": "US",
            "telephone_number": "704-375-0404",
            "fax_number": "704-375-0705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METROLINA SURGICAL SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2025-08-22",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "ERUCHALU",
        "authorized_official_first_name": "OBINNA",
        "authorized_official_middle_name": "NNAEMKA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "704-375-0404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8930776",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "10039",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1036L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.