DR. NDIDIAMAKA O OBADAN (M.D.,MS) – Internal Medicine Physician, NPI 1225385248
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. NDIDIAMAKA O OBADAN (M.D.,MS)
4300 E Flamingo Ave
Nampa, ID 836873138
Phone: (208) 463-5000
Type: Location
19 MERCER DR
SIMPSONVILLE, SC 296816531
Phone:
Type: Mailing
1325 SPRING ST
GREENWOOD, SC 296463860
Phone: (864) 725-4272
Fax: (864) 725-4452
Type: Location
3105 CREEKSIDE VILLAGE DR NW STE 801
KENNESAW, GA 301444218
Phone: (404) 566-4623
Type: Location
506 Lenox Ave
New York, NY 100371802
Phone: (212) 939-2291
Type: Location
3344 COBB PARKWAY STE 200 #1064
ACWORTH, GA 301016531
Phone: (404) 566-4623
Type: Mailing
3105 CREEKSIDE VILLAGE DRIVE
SUITE 800
KENNESAW, GA 30144
Phone: (404) 566-4623
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $243.
Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.
Last reported payment date: 2023-10-19 • Largest payer in this snapshot: Horizon Therapeutics plc ($243).
Total Amount
$243
General + Research + Ownership
Payments
2
Total payment records
General Amount
$243
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Horizon Therapeutics plc | $243 |
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: 2023-06-05
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 |
|---|---|---|---|---|
| I20171127002106 | I | Internal Medicine | SC | TBD |
| I20230605001482 | I | Internal Medicine | GA | 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 83687)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Internal Medicine | NY | |
| - | GA | |
| Internal Medicine | SC | |
| - | KY | |
| H O S P I T A L I S T | SC | |
| Internal Medicine, Hospitalist | TN | |
| Internal Medicine, Hospitalist | SC | |
| Hospitalist, Family Practice, Family Practice | VA | |
| Internal Medicine | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.