NPIMap

Individual provider Active NPI

Christopher Obhokhan Adubor, MD

  • Nephrology Physician
  • Mount Vernon, NY
National Provider Identifier
1962464594
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
192587 Issued in 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
Last updated
Dec 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 192587 NY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000037 NY Practitioner - Internal MedicinePractitioner - Nephrology 5597845479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
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

Merit-based Incentive Payment System (MIPS)

Final score
99.31 of 100Reported as individual
Quality
87.24
Improvement activities
40
Cost
81.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
192587NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutton Park Center for Nursing & Rehabilitation LLC Past Accepting new patients
Ralex Services Inc. Past Accepting new patients
Throgs Neck Operating Co LLC Past Accepting new patients
Montefiore New Rochelle Hospital Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJCEAA/Endpoint/CJCEAA

Organizations & group practices 8

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 9

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1962464594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 STEVENS AVE",
            "address_2": "SUITE 4",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502543",
            "telephone_number": "914-668-8080",
            "fax_number": "914-668-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 STEVENS AVE",
            "address_2": "SUITE 4",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502543",
            "telephone_number": "914-668-8080",
            "fax_number": "914-668-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUBOR",
        "first_name": "CHRISTOPHER",
        "middle_name": "OBHOKHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "192587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.