Obinna P Egbo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33582 Issued in AZ

Practice address

350 W Thomas Rd
Phoenix, AZ 85013-4409

Phone

(602) 900-9466

Fax

(800) 230-9466

NPI assigned

Apr 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

Interoperability endpoints

• Direct secure messaging: obinna_egbo_md@yourcarecommunity.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Payson United Medical Investors LLC

  • Skilled Nursing Facility
  • Payson, AZ
  • NPI 1033177308

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Zion Medical Group PLLC

  • Hospitalist Physician
  • Chandler, AZ
  • NPI 1184049322

  AZ, Internal Medicine

  Medicare reassignment NPD Authorized official
• Gila River Health Care Corporation

  • Critical Access Hospital
  • Laveen, AZ
  • NPI 1376538231

  TX

  Medicare reassignment NPD
• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075

  TX

  Medicare reassignment NPD
• Zion Specialty PLLC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1053928267

  Internal Medicine

  NPD Authorized official
• Gila River Health Care

  • Community/Behavioral Health Agency
  • Laveen, AZ
  • NPI 1598021495
  NPD
• Gila River Health Care Corporation

  • Case Management Agency
  • Chandler, AZ
  • NPI 1629579230
  NPD
• San Carlos Apache Healthcare Corporation

  • Clinic/Center
  • Bylas, AZ
  • NPI 1417330713
  NPD
• Payson United Medical Investors LLC

  • Skilled Nursing Facility
  • Payson, AZ
  • NPI 1033177308
  NPD (past)
• Rim Country Rehab, Inc

  • Skilled Nursing Facility
  • Payson, AZ
  • NPI 1578568267
  NPD (past)
• Yadwinder S Dhillon MD PC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1295964781
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1992768378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11773",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480013",
            "telephone_number": "480-907-7707",
            "fax_number": "480-907-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-900-9466",
            "fax_number": "800-230-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBO",
        "first_name": "OBINNA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "33582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "33582",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "930190",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Craig Egan, MD
• Kimberly Ann Egan
• Louise Egan
• Lena Kitchley Egbert, MD
• Chinwe J Egbo, M.D.
• Christopher Nonso Egbunike Jr., CNIM
• John Charles Egelhoff, D.O.
• Brian K Eggen, FNP-C, AGACNP-BC
• Constance G Eggert, OTR
• Mary Jean Eggleston, LPC

• All providers in Phoenix, AZ
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.