Charles Mbanefo, M.D MRCP

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

35051577M Issued in OH

Practice address

11201 Shaker Blvd Suite 130
Cleveland, OH 44104-3833

Phone

(216) 368-5687

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nephrology

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Partners in Nephrology Care LTDGroup PAC ID 8921997974, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concerto Ohio Dialysis facility, South Euclid, OH, CCN 362897

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cmbanefo37856@ehrdirect.uhhospitals.org

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.

• Partners in Nephrology Care LTD.

  • Nephrology Physician
  • Shaker Heights, OH
  • NPI 1467509893
  Medicare reassignment Care Compare group
• Charles O. Mbanefo, MD

  • Specialist
  • Cleveland, OH
  • NPI 1356530943
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Concerto Ohio LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Powell, OH
  • NPI 1245854876

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1881720886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 SHAKER BLVD SUITE 130",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043833",
            "telephone_number": "216-368-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 SHAKER BLVD SUITE 130",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043833",
            "telephone_number": "216-368-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBANEFO",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D  MRCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35051577M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jo Mazzolini, MA LSW
• Emily Anne Mazzone, RN
• Gina Mazzone
• Peter Mazzone, M.D.
• Sandra Mazzoni, D.O.
• Brittany Milliner Mbanugo, DO
• Mireille Mpoyi Mbelu
• Chioma Stephanie Mbionwu, MD
• Tasha L MC Dowell, LSW
• Charise MC Elrath, LPN

• Nephrology Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.

Verify at the official NPI Registry.