MR. IMO ENE INYANG (RN) – Certified Registered Nurse Anesthetist, NPI 1689336539

MR. IMO ENE INYANG (RN) is a healthcare provider. based in Copley, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. RN.461010 (OH). The NPI Number for MR. IMO ENE INYANG (RN) is 1689336539

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. IMO ENE INYANG (RN)
NPI
1689336539
Phone
(781) 974-8216
Address
3808 FAIRWAY PARK DR APT 205
Enumeration Date
7 October 2021
Last Update Date
8 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5405368000
Graduation Year
2022 (4 years ago)
PAC ID
0042605198
Group Practice PAC ID
3678002565
Professional Enrollment ID
I20250314000955
Address ID
VA226012808WI1840XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for MR. IMO ENE INYANG (RN)

  • 3808 FAIRWAY PARK DR APT 205

    COPLEY, OH 443212973

    Phone: (781) 974-8216

    Type: Mailing

  • 100 MEDICAL CENTER DR

    SPRINGFIELD, OH 455042687

    Phone: (937) 523-1000

    Type: Location

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 $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Medtronic, Inc. ($111).

Total Amount

$126

General + Research + Ownership

Payments

2

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

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: 2025-03-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220328001466ICertified Registered Nurse Anesthetist (Crna)OHTBD
I20250314000955ICertified Registered Nurse Anesthetist (Crna)VATBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2323$0
00811Anesthesia for other procedure on large bowel using an endoscope2020$0
00790Anesthesia for other procedure on upper abdomen1212$0
View full utilization report →

Insurance plans in this area (ZIP 44321)

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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: 3678002565View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)MD
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YSC
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)MD
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

Is there an official ID for MR. IMO ENE INYANG (RN) in U.S. healthcare records?
The official identifier for MR. IMO ENE INYANG (RN) is NPI 1689336539.
Is MR. IMO ENE INYANG (RN) shown as active in public data?
Registry records indicate MR. IMO ENE INYANG (RN) maintains an active NPI.
What kind of doctor is MR. IMO ENE INYANG (RN)?
MR. IMO ENE INYANG (RN) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is MR. IMO ENE INYANG (RN) associated with Copley?
Public fields place MR. IMO ENE INYANG (RN) around Copley, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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