Active NPI
Obinna O Adibe, M.D.
- Pediatric Surgery Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 2011-01098
- Practice address
- 2100 Erwin Rd
Durham, NC 27705-3941 - Phone
- (919) 684-8111
- NPI assigned
- May 2, 2008
- Last updated
- Nov 25, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2009023874 | MO | |
| Surgery Physician | 208600000X | 0433069 | KS | |
| Pediatric Surgery Physician | 2086S0120X | 2011-01098 | NC | Primary |
Addresses
Primary practice location
2100 Erwin Rd
Durham, NC 27705-3941
Mailing address
5213 S Alston Ave
Durham, NC 27713-4430
Phone (919) 684-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81323 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2000 Health Park Dr
Brentwood, TN 37027-4692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0433069 | KS | MD | Surgery Physician |
| 2009023874 | MO | MD | Surgery Physician |
| 2011-01098 | NC | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Physician Services, Inc. | Pediatrics | Current | Accepting new patients |
| Moses Cone Physician Services Inc | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc. | Pediatrics | Current | Accepting new patients |
| Pediatric Specialty Clinic, LLC | Pediatrics | Current | Accepting new patients |
| Wellstar Acworth Family Practice, LLC | Past | Accepting new patients |
Locations
12200 W 106th St
Ste 210
Overland Park, KS 66215
Phone (913) 327-1117
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
1103 N Elm St
Ste 300
Greensboro, NC 27401
Phone (336) 271-3331
1126 N Church St
Ste 203
Greensboro, NC 27401
Phone (336) 235-0944
301 E Wendover Ave
Ste 311
Greensboro, NC 27401
Phone (336) 272-6161
301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200
Interoperability endpoints
- oadibe2960231@carolinashealthcaresystem.direct-ci.com
- oadibe530046@direct.integrisok.com
- obinna.adibe@hca2.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
Pediatrics
-
- Pediatrics Physician
- Overland Park, KS
- NPI 1699922203
-
dba Triad Hospitalists
- Hospitalist Physician
- Greensboro, NC
- NPI 1326363383
-
dba Cone Health Child Neurology
- Neurology with Special Qualifications in Child Neurology Physician
- Greensboro, NC
- NPI 1619244936
Pediatrics
-
- Family Medicine Physician
- Acworth, GA
- NPI 1740489103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1942476692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5213 S ALSTON AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277134430",
"telephone_number": "919-684-8111",
"fax_number": "919-620-4921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053941",
"telephone_number": "919-684-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADIBE",
"first_name": "OBINNA",
"middle_name": "O",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-02",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2009023874",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "0433069",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NC",
"license": "2011-01098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81323",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.