Christina Iheoma Adibe, P.A.

Individual provider Active NPI Physician Assistant · Monterey, CA

NPI 1992137970 · NPPES record last updated Jul 2, 2024

Key facts

NPI
1992137970
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
56487 (CA)
Practice address
501 Lighthouse Ave
Monterey, CA 93940-1439
Phone
(831) 649-0770
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 20

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helen Newberry Joy Hospital (36 clinicians)

Practice addresses (Care Compare)

502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200

Hospital & facility affiliations

  • Helen Newberry Joy Hospital Hospital · Newberry, MI · CCN 231304

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MI, CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20131106000571 MI Practitioner - Physician Assistant 4082849799 Reassigns benefits to 6 organizations
I20230623002662 CA Practitioner - Physician Assistant 4082849799 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC Current
since May 6, 2024
Accepting new patients
St Joseph Mercy Hospital Current
since Jun 20, 2015
Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current
since Aug 7, 2020
Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current
since Aug 7, 2020
Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Edward W. Sparrow Hospital Association Current
since Sep 1, 2014
Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current
since May 6, 2024
Accepting new patients
Wellstreet Urgent Care of Michigan Past
since Aug 6, 2023
Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

1600 S Canton Center Rd
Canton, MI 48188
Phone (734) 398-7557

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

Interoperability endpoints

  • Direct secure messaging: cadibe45918@direct.trinity-health.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 56487 CA Yes

Addresses

Primary practice location

501 Lighthouse Ave
Monterey, CA 93940-1439

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 649-1000

Other identifiers

IdentifierTypeStateIssuer
700H231390OtherMIBCBSM GROUP NUMBER

Other names

  • Iheoma Christina Adibe Former name

Other providers in Monterey, CA

All providers in Monterey, CA · Physician Assistant in California

Sources for this page

Verify at the official NPI Registry.