DR. JASON CHUMA-UGORJI ERVIN WADIBIA (DO) – Neurocritical Care Physician, NPI 1225693583
Neurocritical Care Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,479 NEUROLOGY in CA
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Provider Addresses for DR. JASON CHUMA-UGORJI ERVIN WADIBIA (DO)
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 92354
Phone: (251) 591-4023
Type: Mailing
Loma Linda University Medical Center, 11234, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States
LOMA LINDA, CA 923542804
Phone: (909) 558-4907
Type: Location
5600 S QUEBEC ST STE 312A
GREENWOOD VILLAGE, CO 801112208
Phone: (251) 591-4023
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250721000337 | I | Neurology | CO | TBD |
| I20251206000407 | I | Neurology | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92354)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CO | |
| N E U R O L O G Y | CO | |
| N E U R O L O G Y | FL | |
| N E U R O L O G Y | CO | |
| N E U R O L O G Y | CO | |
| N E U R O L O G Y | PA | |
| Neurology, Psychiatry, Neurology | MA | |
| N E U R O L O G Y | CO | |
| N E U R O L O G Y | MD | |
| Nurse Practitioner | HI |
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