Obinna Ikwechegh, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2010-01805 Issued in NC

Practice address

3000 Bethesda PL Ste 104
Winston Salem, NC 27103-3323

Phone

(336) 293-4107

Fax

(949) 577-4324

NPI assigned

Nov 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iredell Physician Network LLCGroup PAC ID 0749345007, 91 clinicians

NHCS Physicians IncGroup PAC ID 7719209154, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: obi@kairosmedicalconsult.org

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.

• NHCS Physicians Inc

  • Cardiovascular Disease Physician
  • Rocky Mount, NC
  • NPI 1801252275

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Iredell Physician Network LLC

  • General Practice Physician
  • Statesville, NC
  • NPI 1811381593
  Medicare reassignment Care Compare group
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1356314272

  Psychiatry

  Medicare reassignment NPD
• Forsyth Memorial Hospital, Inc.

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1104548874
  Medicare reassignment NPD
• Henderson County Hospital Corporation

  • Multi-Specialty Clinic/Center
  • Hendersonville, NC
  • NPI 1447444559
  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Kairos Wellness Initiative

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1417620527
  NPD Authorized official
• A World of Opportunity, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Concord, NC
  • NPI 1578131413
  NPD
• Caromont Medical Group Inc

  • Psychiatry Physician
  • Gastonia, NC
  • NPI 1629197744
  NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1972301380
  NPD
• Forsyth Memorial Hospital, Inc.

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1194447805
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Nash Hospitals Inc

  • General Acute Care Hospital
  • Rocky Mount, NC
  • NPI 1619969219
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1952582967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL STE 104",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033323",
            "telephone_number": "336-293-4107",
            "fax_number": "949-577-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL STE 104",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033323",
            "telephone_number": "336-293-4107",
            "fax_number": "949-577-4324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-815-5830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Bethesda Pl Ste 202",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033324",
            "country_code": "US",
            "telephone_number": "336-293-4107",
            "fax_number": "949-577-4324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKWECHEGH",
        "first_name": "OBINNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-19",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NC",
            "license": "2010-01805",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2010-01805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oikwechegh145971@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2131 S 17th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Obi@kairosmedicalconsult.org",
            "affiliation": "N",
            "address_1": "3000 Bethesda Pl Ste 104",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Obi@kairosmedicalconsult.org",
            "affiliation": "N",
            "endpointDescription": "Direct email messaging to Dr. Ikwechegh",
            "address_1": "3000 Bethesda Pl Ste 104",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Itohan Igbinigie, MA, CCC-SLP
• Theodore Osarumwense Igbinigie, MD
• Chioma Igboegwu, PHD, LCAS-A
• Fulfilled Iwosa Ighalo, MD
• Emmanuelar Onyinyechukwu Igweonu-Nwakile, MD
• Adebola Omolara Ilesanmi, FNP
• Illumii
• Imani Enterprises Dba a L Nursing Home Care Agency
• Imani Home Care Service, LLC
• Lauren W Imboden, PA

• Psychiatry Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.

Verify at the official NPI Registry.