KENNETH OBI (MD) – Gastroenterology Physician, NPI 1184853053

KENNETH OBI (MD) is a healthcare provider. based in Rome, Georgia. specializing in INTERNAL MEDICINE, GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 075436 (GA). The NPI Number for KENNETH OBI (MD) is 1184853053

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH OBI (MD)
NPI
1184853053
Phone
(706) 295-3992
Address
11 JOHN MADDOX DR NW
Enumeration Date
13 July 2009
Last Update Date
15 March 2016

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
7062953992
Graduation Year
2009 (17 years ago)
PAC ID
3274795489
Group Practice PAC ID
4981518594
Professional Enrollment ID
I20160328000706
Address ID
GA301651413RO11XXXNWXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for KENNETH OBI (MD)

  • 11 JOHN MADDOX DR NW

    ROME GI

    ROME, GA 301651413

    Phone: (706) 295-3992

    Fax: (706) 378-5582

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 266 Open Payments records for all available years, with a total value of $15,695.

Total Amount is formed as General ($15,695) + Research ($0) + Ownership ($0) = $15,695.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($10,909).

Total Amount

$15,695

General + Research + Ownership

Payments

266

Total payment records

General Amount

$15,695

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160328000706IInternal MedicineGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes163134$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15384$0
99213Established patient office or other outpatient visit, 20-29 minutes10590$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare101101$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope9290$0
View full utilization report →

Insurance plans in this area (ZIP 30165)

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Provider's Procedures

KENNETH OBI (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope2323

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: 4981518594View full group profile
NameSpecialtyState
Nurse PractitionerGA
G A S T R O E N T E R O L O G YGA
Physician AssistantSC
Nurse PractitionerMD
-GA
Nurse PractitionerGA
G A S T R O E N T E R O L O G YDC
Gastroenterology, Internal MedicineGA

Reviews

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Frequently asked questions

What unique ID ties claims to KENNETH OBI (MD)?
NPI 1184853053 is assigned to KENNETH OBI (MD) under the national enumeration system.
Does this profile mean KENNETH OBI (MD) is currently active?
Yes — KENNETH OBI (MD) appears active in the national provider directory.
What does KENNETH OBI (MD) treat or focus on?
Patients typically see KENNETH OBI (MD) under the specialty Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What location shows for KENNETH OBI (MD)?
We surface Rome, Georgia for KENNETH OBI (MD) based on available NPPES addresses.
How can I contact KENNETH OBI (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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