CELESTINA I. IHEANACHO (MD) – Internal Medicine Physician, NPI 1619927530

CELESTINA I. IHEANACHO (MD) is a healthcare provider. based in Granger, Indiana. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 01091247A (IN). The NPI Number for CELESTINA I. IHEANACHO (MD) is 1619927530

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
CELESTINA I. IHEANACHO (MD)
NPI
1619927530
Phone
(574) 647-2129
Address
3245 HEALTH DR STE 100
Enumeration Date
11 May 2006
Last Update Date
2 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5746473050
Graduation Year
2015 (11 years ago)
PAC ID
7911915558
Group Practice PAC ID
1254243306
Professional Enrollment ID
I20230913003982
Address ID
IN466011033SO615XXFLXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,524 INTERNAL MEDICINE in IN

Provider Addresses for CELESTINA I. IHEANACHO (MD)

  • 3245 HEALTH DR STE 100

    GRANGER, IN 465301380

    Phone: (574) 647-2129

    Fax: (336) 251-1115

    Type: Mailing

  • 615 N MICHIGAN ST 1ST FL HOSPITALIST STE

    SOUTH BEND, IN 466011033

    Phone: (574) 647-3050

    Fax: (574) 647-1094

    Type: Location

  • 4692, Brownsboro Road, Winston-Salem, Forsyth County, North Carolina, 27106, United States

    WINSTON SALEM, NC 271063410

    Phone: (336) 251-1114

    Fax: (336) 251-1115

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $239.

Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.

Last reported payment date: 2024-07-02 • Largest payer in this snapshot: Abbott Laboratories ($124).

Total Amount

$239

General + Research + Ownership

Payments

2

Total payment records

General Amount

$239

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-02

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: 2023-09-13

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
I20060323000610INurse PractitionerNCTBD
I20230913003982IInternal MedicineINTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7437$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2513$0
99239Hospital discharge day management, more than 30 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 46530)

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Provider's Procedures

CELESTINA I. IHEANACHO (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERNC83036Hemoglobin A1C level3029

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: 1254243306View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyIN
-IN
Vascular SurgeryIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIN
Qualified AudiologistIN
Nurse PractitionerIN
-IN
Nurse PractitionerIN
-IN
General SurgeryIN

Reviews

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Frequently asked questions

Is CELESTINA I. IHEANACHO (MD) listed with a National Provider Identifier?
Yes — CELESTINA I. IHEANACHO (MD) has NPI 1619927530 on file in the registry.
Active or inactive — what applies to CELESTINA I. IHEANACHO (MD)?
You should see CELESTINA I. IHEANACHO (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to CELESTINA I. IHEANACHO (MD)?
CELESTINA I. IHEANACHO (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CELESTINA I. IHEANACHO (MD) associated with Granger?
Public fields place CELESTINA I. IHEANACHO (MD) around Granger, Indiana. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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