Individual provider Active NPI

Oroma Beatrice Afiong Nwanodi, MD

  • Obstetrics & Gynecology Physician
  • Syracuse, NY
National Provider Identifier
1922021914
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2350311 Issued in NY
Practice address
301 Prospect Ave
Syracuse, NY 13203-1807
Phone
(315) 744-1478
Fax
(315) 448-3548
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2006017607 MO
Obstetrics & Gynecology Physician 207V00000X 7239A WY
Obstetrics & Gynecology Physician 207V00000X C55184 CA
Obstetrics & Gynecology Physician 207V00000X 2350311 NY Primary

Addresses

Primary practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Mailing address

70260 Mottle Cir
Rancho Mirage, CA 92270-2421
Phone (314) 304-2946

Other practice location 1

335 Katherine Ave
Salinas, CA 93901-3176
Phone (831) 751-6222

Other practice location 2

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (909) 883-8711

Other identifiers 2

IdentifierTypeStateIssuer
CA122181OtherCAMEDICARE PTAN
121695300MedicaidMO

Other names 1

  • Oroma Beatrice Nwanodi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20141015001009 CA Practitioner - Obstetrics/Gynecology 4688605017 Reassigns benefits to 4 organizations
I20160405002363 MN Practitioner - Obstetrics/Gynecology 4688605017 Reassigns benefits to 2 organizations
I20170502000487 NY Practitioner - Obstetrics/Gynecology 4688605017 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg California PCGroup PAC ID 8729276795, 94 clinicians

Practice addresses (Care Compare)

4001 J St
Sacramento, CA 95819-3626
Phone (864) 808-3530

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006017607MOMDObstetrics & Gynecology Physician
2350311NYMDObstetrics & Gynecology Physician
7239AWYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Obstetrics & Gynecology CurrentSince Jul 21, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Obstetrics & Gynecology CurrentSince Nov 15, 2021 Accepting new patients
Dignity Health Medical Foundation CurrentSince Sep 24, 2023 Accepting new patients
Unity Family Healthcare CurrentSince Jan 21, 2017 Accepting new patients
Unity Family Healthcare CurrentSince Jan 21, 2017 Accepting new patients
St Josephs Hospital Health Center CurrentSince Jan 1, 2025 Accepting new patients
Unity Family Healthcare Current Accepting new patients
North Shore-Lij Medical PC Obstetrics & Gynecology CurrentSince Jan 18, 2022 Accepting new patients
St. Joseph's Pathology, PC Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Nov 15, 2021 Accepting new patients
St Joseph's Hospital Health Center Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Jul 21, 2023 Accepting new patients
DHP of California Medical Group Inc Obstetrics & Gynecology CurrentSince Mar 1, 2020 Accepting new patients
Dignity Health Medical Foundation CurrentSince Sep 24, 2023 Accepting new patients
Magella Medical Group, Inc. Obstetrics & Gynecology CurrentSince Mar 13, 2018 Accepting new patients
Winona Health Services CurrentSince Nov 25, 2016 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Past Accepting new patients
New York Westchester SQ Med Ctr Past Accepting new patients
Huntington Hospital Association Past Accepting new patients
Dignity Health Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Vassar Brothers Hospital Past Accepting new patients

Locations

1735 Creekside Dr
Folsom, CA 95630
Phone (916) 983-3500

2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590

4281 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 429-7100

File 50978
Los Angeles, CA 90074

770 The City Dr S
Ste 4000
Orange, CA 92868
Phone (800) 463-6628

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

3000 Q St
Fl 5
Sacramento, CA 95816
Phone (916) 733-3312

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

7892 Solutions Ctr
Chicago, IL 60677

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

111 E 210th St
Bronx, NY 10467

270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

300 Community Dr
Plandome, NY 11030

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • Direct secure messaging: onwanodi2935324@direct.trinity-health.org

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1922021914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70260 MOTTLE CIR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702421",
            "telephone_number": "314-304-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-744-1478",
            "fax_number": "315-448-3548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 Katherine Ave",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939013176",
            "country_code": "US",
            "telephone_number": "831-751-6222",
            "fax_number": "831-751-0692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 N Waterman Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924044836",
            "country_code": "US",
            "telephone_number": "909-883-8711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWANODI",
        "first_name": "OROMA",
        "middle_name": "BEATRICE AFIONG",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2006017607",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "7239A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C55184",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "2350311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA122181",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121695300",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OROMA",
            "last_name": "NWANODI",
            "middle_name": "BEATRICE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.