Individual provider Active NPI

Nancy Ndidi Emelife, M.D.

  • Diagnostic Radiology Physician
  • Palo Alto, CA
National Provider Identifier
1992124093
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A166392 Issued in CA
Practice address
875 Blake Wilbur Dr
Palo Alto, CA 94304-2205
Phone
(650) 723-8462
NPI assigned
Apr 16, 2014
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X T7202 TX
Diagnostic Radiology Physician 2085R0202X A166392 CA Primary

Addresses

Primary practice location

875 Blake Wilbur Dr
Palo Alto, CA 94304-2205

Mailing address

875 Blake Wilbur Dr
Palo Alto, CA 94304-2205
Phone (650) 723-8462

Other practice location 1

1430 Tulane Ave, SL-50
New Orleans, LA 70112-2632
Phone (504) 988-7809

Other practice location 2

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5000

Other identifiers 1

IdentifierTypeStateIssuer
MT206360OtherPAMEDICAL TRAINING LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200626001904 CA Practitioner - Diagnostic Radiology 6608298245 Reassigns benefits to 1 organization
I20220708000678 TX Practitioner - Diagnostic Radiology 6608298245 Reassigns benefits to 15 organizations
I20240926001073 GA Practitioner - Diagnostic Radiology 6608298245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at San Antonio, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

4343 N Josey LN
Carrollton, TX 75010-4603
Phone (972) 492-1010

5501 S McColl Rd
Edinburg, TX 78539-5503
Phone (956) 362-2171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.07 of 100Reported as group
Quality
73.06
Improvement activities
40
Cost
69.92

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
72.78
Promoting interoperability
98
Improvement activities
40
Cost
76.77

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Sep 29, 2023 Accepting new patients
Remlo Diagnostic Radiology CurrentSince Jul 28, 2024 Accepting new patients
Norton Clark Physician Practices, LLC CurrentSince Jun 1, 2024 Accepting new patients
Clinton Indian Health Center CurrentSince Sep 6, 2023 Accepting new patients
El Reno Indian Health Center CurrentSince Sep 6, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 14, 2023 Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 14, 2023 Accepting new patients
Carnegie Indian Health Center CurrentSince Sep 6, 2023 Accepting new patients
Renaissance Medical Foundation CurrentSince Feb 7, 2026 Accepting new patients
Emelife Radiology, PLLC Diagnostic Radiology CurrentSince Aug 18, 2023 Accepting new patients
Watonga Indian Health Center CurrentSince Sep 6, 2023 Accepting new patients
Hunt Memorial Hospital District CurrentSince Oct 1, 2024 Accepting new patients
Pawnee Indian Health Center CurrentSince Sep 6, 2023 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Wewoka Indian Health CurrentSince Sep 6, 2023 Accepting new patients
Hunt Memorial Hospital District CurrentSince Oct 1, 2024 Accepting new patients
Lawton Indian Hospital CurrentSince Sep 6, 2023 Accepting new patients
Cherokee Nation Current Accepting new patients
Southern OB GYN Associates P C CurrentSince Sep 6, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Anadarko Indian Health Center CurrentSince Sep 6, 2023 Accepting new patients
Cherokee Nation CurrentSince Sep 29, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients
North Valley Breast Clinic PastSince Aug 1, 2024 Accepting new patients
Btdi JV, LLP PastSince Jul 1, 2022 Accepting new patients

Locations (25 of 32)

220 Northside Dr
Valdosta, GA 31602
Phone (229) 241-2800

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

212 E 4th St
Carnegie, OK 73015
Phone (580) 654-1100

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8440

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

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

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 4

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1992124093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042205",
            "telephone_number": "650-723-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042205",
            "telephone_number": "650-723-8462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Tulane Ave, SL-50",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122632",
            "country_code": "US",
            "telephone_number": "504-988-7809",
            "fax_number": "505-988-3971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4215 Joe Ramsey Blvd E",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017852",
            "country_code": "US",
            "telephone_number": "903-408-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMELIFE",
        "first_name": "NANCY",
        "middle_name": "NDIDI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T7202",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A166392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL TRAINING LICENSE",
            "identifier": "MT206360",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.