Active NPI
Obianuju Mba, M.D.
- Hospitalist Physician
- Westminster, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 51560
- Practice address
- 6500 W 104TH Ave
Westminster, CO 80020-4189 - Phone
- (720) 653-3440
- Fax
- (720) 653-3411
- NPI assigned
- Mar 24, 2009
- Last updated
- May 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT194305 | PA | |
| Hospitalist Physician | 208M00000X | 51560 | CO | Primary |
Addresses
Primary practice location
6500 W 104TH Ave
Westminster, CO 80020-4189
Mailing address
6500 W 104TH Ave
Westminster, CO 80020-4189
Phone (310) 766-5582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1690 Meade St
Denver, CO 80204-1552
Phone (970) 391-4303
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT194305 | PA | MD | Family Medicine Physician |
| 51560 | CO | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Children's Hospital Colorado | Current | Accepting new patients | |
| Artemis Healthcare Services LLC | Family Medicine | Current | Accepting new patients |
| Firstdoc PC | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Longmont Pulmonary and Critical Care Associates, PC | Past | Accepting new patients | |
| Agape Palliative Services, LLC | Past | Accepting new patients |
Locations
1690 Meade St
Denver, CO 80204
Phone (303) 264-6854
6041 S Syracuse Way
Ste 220
Greenwood Village, CO 80111
Phone (720) 482-1988
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322
6500 W 104th Ave
Westminster, CO 80020
Phone (720) 573-5000
Interoperability endpoints
- omba414320@direct.childrenscolorado.org
Organizations & group practices 9
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
- Denver, CO
- NPI 1497076681
-
- Community Based Hospice Care Agency
- Lafayette, CO
- NPI 1477556934
-
dba Agape Hospice Services
- Community Based Hospice Care Agency
- Greenwood Village, CO
- NPI 1306831490
Family Medicine
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
dba AdventHealth Transplant Institute Durango
- Transplant Surgery Physician
- Durango, CO
- NPI 1124623954
-
dba Affiliated Ear, Nose & Throat Physicians
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
dba AdventHealth Medical Group Urology at Lakewood
- Urology Physician
- Lakewood, CO
- NPI 1942165626
-
dba Agape Healthcare
- Home Health Agency
- Greenwood Village, CO
- NPI 1588973895
-
- Pulmonary Disease Physician
- Longmont, CO
- NPI 1215028543
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Lafayette, CO
- NPI 1477556934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1952543852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 W 104TH AVE",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800204189",
"telephone_number": "310-766-5582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 W 104TH AVE",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800204189",
"telephone_number": "720-653-3440",
"fax_number": "720-653-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBA",
"first_name": "OBIANUJU",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-24",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT194305",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CO",
"license": "51560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.