Individual provider Active NPI

Obianuju Mba, M.D.

  • Hospitalist Physician
  • Westminster, CO
National Provider Identifier
1952543852
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
51560 Issued in CO
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120824000296 CO Practitioner - HospitalistPractitioner - Family Practice 8325295421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Firstdoc PCGroup PAC ID 2860688975, 13 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT194305PAMDFamily Medicine Physician
51560COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Oct 22, 2020 Accepting new patients
Children's Hospital Colorado Current Accepting new patients
Artemis Healthcare Services LLC Family Medicine CurrentSince May 20, 2023 Accepting new patients
Firstdoc PC CurrentSince Sep 10, 2022 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Oct 22, 2020 Accepting new patients
Longmont Pulmonary and Critical Care Associates, PC Past Accepting new patients
Agape Palliative Services, LLC PastSince May 20, 2023 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.