Christopher Obhokhan Adubor, MD
Individual provider Active NPI Nephrology Physician · Mount Vernon, NY
NPI 1962464594 · NPPES record last updated Dec 2, 2011
Key facts
- NPI
- 1962464594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 192587 (NY)
- Practice address
- 153 Stevens Ave
Suite 4
Mount Vernon, NY 10550-2543 - Phone
- (914) 668-8080
- Fax
- (914) 668-0629
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
153 Stevens Ave
Suite 4
Mount Vernon, NY 10550-2543
Phone (914) 668-8080
Hospital & facility affiliations
- Mount Vernon Dialysis,LLC
- Americare Certified Special Services, Inc Chha
- Revival Home Health Care
- Extended Home Care
- Montefiore New Rochelle Hospital
- Montefiore Mount Vernon Hospital
- Glen Island Center for Nursing and Rehabilitation
- Throgs Neck Rehabilitation & Nursing Center
- Schaffer Extended Care Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.31 of 100
- Quality
- 87.24
- Improvement activities
- 40
- Cost
- 81.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101214000037 | NY | Practitioner - Internal Medicine |
5597845479 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192587 | NY | MD | Nephrology Physician |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore New Rochelle Hospital | Past | Accepting new patients | |
| Ralex Services Inc. | Past | Accepting new patients | |
| Throgs Neck Operating Co LLC | Past | Accepting new patients | |
| Sutton Park Center for Nursing & Rehabilitation LLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJCEAA/Endpoint/CJCEAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 192587 | NY | Yes |
Addresses
Primary practice location
153 Stevens Ave
Suite 4
Mount Vernon, NY 10550-2543
Mailing address
153 Stevens Ave
Suite 4
Mount Vernon, NY 10550-2543
Phone (914) 668-8080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01605527 | Medicaid | NY |
Other providers in Mount Vernon, NY
- Adella Transportation LLC
- Khadijat Adeyi
- Maureen Ukamaka Adione
- Cynthia Adjekpovu
- Alice N Adom
- Advanced Value Care, LLC
- Affinity Rehabilitation, LLP
- Munazza Afzal
- Francis O. Agbonkpolo
- Guirlaine Lenore Agnant
All providers in Mount Vernon, NY · Nephrology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.