Individual provider Active NPI

Smithson Onyebuchi Ahiabuike, M.D.,

  • Internal Medicine Physician
  • Gadsden, AL
National Provider Identifier
1932351996
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44150 Issued in TN
Practice address
525 S 3Rd St
Suite D
Gadsden, AL 35901-5306
Phone
(256) 438-5107
Fax
(256) 438-5108
NPI assigned
Oct 21, 2008
Last updated
Sep 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44150 TN Primary

Addresses

Primary practice location

525 S 3Rd St
Suite D
Gadsden, AL 35901-5306

Mailing address

525 S 3Rd St
Suite D
Gadsden, AL 35901-5306
Phone (256) 438-5107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, AL, DC3 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
I20090407000317 WV Practitioner - Internal Medicine 0648334607 Reassigns benefits to 1 organization
I20110912000767 AL Practitioner - Internal Medicine 0648334607 Reassigns benefits to 3 organizations
I20181203002566 DC Practitioner - Internal Medicine 0648334607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Team Hospitalists LLCGroup PAC ID 0244536928, 2 clinicians

Practice addresses (Care Compare)

309 W Grand Ave
Rainbow City, AL 35906-3241
Phone (256) 952-2426

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44150TNMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc CurrentSince Mar 18, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 25, 2018 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Mar 18, 2019 Accepting new patients
Care Team Hospitalists LLC Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC Internal Medicine CurrentSince Oct 17, 2015 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince Oct 1, 2016 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Oct 25, 2018 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince Oct 1, 2016 Accepting new patients
Kelly Medical Services Corporation LLC Internal Medicine Past Accepting new patients
Southeastern Physician Services PC Internal Medicine Past Accepting new patients
Gadsden Regional Medical Center LLC Past Accepting new patients
University Health System Inc Past Accepting new patients
Alcona Citizens for Health, Inc. Past Accepting new patients
Alcona Citizens for Health, Inc. Past Accepting new patients
Pauker Inpatient Services Internal Medicine Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

420 N 6th St
Gadsden, AL 35901
Phone (256) 546-9907

502 N 27th St
Gadsden, AL 35904
Phone (256) 546-0073

309 W Grand Ave
Rainbow City, AL 35906
Phone (256) 442-6400

20010 Century Blvd
Ste 200
Germantown, MD 20874

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1932351996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S 3RD ST",
            "address_2": "SUITE D",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015306",
            "telephone_number": "256-438-5107",
            "fax_number": "256-438-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S 3RD ST",
            "address_2": "SUITE D",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015306",
            "telephone_number": "256-438-5107",
            "fax_number": "256-438-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHIABUIKE",
        "first_name": "SMITHSON",
        "middle_name": "ONYEBUCHI",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "44150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.