MR. THEODORE O ANUEBUNWA (MD) – Hospitalist Physician, NPI 1740264951

MR. THEODORE O ANUEBUNWA (MD) is a healthcare provider. based in Lithonia, Georgia. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 063757 (GA). The NPI Number for MR. THEODORE O ANUEBUNWA (MD) is 1740264951

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. THEODORE O ANUEBUNWA (MD)
NPI
1740264951
Phone
(404) 501-8492
Address
2801 DEKALB MEDICAL PKWY
Enumeration Date
1 December 2005
Last Update Date
12 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047783900
Graduation Year
1996 (30 years ago)
PAC ID
5294648655
Group Practice PAC ID
3476559782
Professional Enrollment ID
I20101022000417
Address ID
GA303221059AT1364XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

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Provider Addresses for MR. THEODORE O ANUEBUNWA (MD)

  • DeKalb Medical Hillandale, 2801, Dekalb Medical Parkway, Lithonia, DeKalb County, Georgia, 30058, United States

    LITHONIA, GA 300584996

    Phone: (404) 501-8492

    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 1 Open Payments records for all available years, with a total value of $8.

Total Amount is formed as General ($8) + Research ($0) + Ownership ($0) = $8.

Last reported payment date: 2024-08-12 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($8).

Total Amount

$8

General + Research + Ownership

Payments

1

Total payment records

General Amount

$8

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-10-22

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
I20101022000417IInternal 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6664$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2715$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2311$0
View full utilization report →

Insurance plans in this area (ZIP 30058)

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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: 3476559782View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Internal Medicine, Infectious DiseaseGA
-GA
-GA
Physician AssistantGA
Certified Registered Nurse Anesthetist (Crna)FL
N E U R O L O G YGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. THEODORE O ANUEBUNWA (MD)?
MR. THEODORE O ANUEBUNWA (MD) — NPI 1740264951 — is the standard way to identify this listing.
Is MR. THEODORE O ANUEBUNWA (MD) listed as active for patients and plans?
The listing shows MR. THEODORE O ANUEBUNWA (MD) as active in the NPI system.
What is MR. THEODORE O ANUEBUNWA (MD)'s specialty?
The listing groups MR. THEODORE O ANUEBUNWA (MD) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Does MR. THEODORE O ANUEBUNWA (MD) list a practice location?
Patients near Lithonia, Georgia may find MR. THEODORE O ANUEBUNWA (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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