DR. IKECHUKWU KINGSLEY AMOBI (M.D.) – Emergency Medicine Physician, NPI 1295262558

DR. IKECHUKWU KINGSLEY AMOBI (M.D.) is a healthcare provider. based in Ontario, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 67030 (AZ). The NPI Number for DR. IKECHUKWU KINGSLEY AMOBI (M.D.) is 1295262558

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. IKECHUKWU KINGSLEY AMOBI (M.D.)
NPI
1295262558
Phone
(909) 240-9831
Address
714 E SKYLARK ST
Enumeration Date
17 May 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5203245819
Graduation Year
2017 (9 years ago)
PAC ID
7719399914
Group Practice PAC ID
5799066650
Professional Enrollment ID
I20220803000242
Address ID
AZ857470236TU5755XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,826 EMERGENCY MEDICINE in CA

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Provider Addresses for DR. IKECHUKWU KINGSLEY AMOBI (M.D.)

  • 714, East Skylark Street, Ontario, San Bernardino County, California, 91761, United States

    ONTARIO, CA 917615856

    Phone: (909) 240-9831

    Type: Mailing

  • Mount Vernon Avenue, Bakersfield, Kern County, California, 93307, United States

    BAKERSFIELD, CA 933064018

    Phone: (661) 326-2000

    Type: Location

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: 2022-08-03

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201211001710IEmergency MedicineCATBD
I20220803000242IEmergency MedicineAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making114111$0
99285Emergency department visit with high level of medical decision making9796$0
99283Emergency department visit with low level of medical decision making3939$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3131$0
View full utilization report →

Insurance plans in this area (ZIP 91761)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799066650View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. IKECHUKWU KINGSLEY AMOBI (M.D.) in U.S. healthcare records?
The official identifier for DR. IKECHUKWU KINGSLEY AMOBI (M.D.) is NPI 1295262558.
Would DR. IKECHUKWU KINGSLEY AMOBI (M.D.) appear as active to a payer?
You can treat DR. IKECHUKWU KINGSLEY AMOBI (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. IKECHUKWU KINGSLEY AMOBI (M.D.)?
DR. IKECHUKWU KINGSLEY AMOBI (M.D.)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. IKECHUKWU KINGSLEY AMOBI (M.D.)?
Directory geography for DR. IKECHUKWU KINGSLEY AMOBI (M.D.) centers on Ontario, California.
When was this NPI issued?
Enumeration for DR. IKECHUKWU KINGSLEY AMOBI (M.D.) is noted as May 17, 2017 where the registry provides it.

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