DR. NENNA N EGBOH (M.D.) – Internal Medicine Physician, NPI 1104053800

DR. NENNA N EGBOH (M.D.) is a healthcare provider. based in Allentown, Pennsylvania. specializing in EMERGENCY MEDICINE, HOSPITALIST, INTERNAL MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. MT198011 (PA). The NPI Number for DR. NENNA N EGBOH (M.D.) is 1104053800

Main info

Female
17 Years Of Experience
Name
DR. NENNA N EGBOH (M.D.)
NPI
1104053800
Phone
(610) 402-5200
Address
1240 S CEDAR CREST BLVD STE 410
Enumeration Date
19 June 2009
Last Update Date
25 May 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8773462211
Graduation Year
2009 (17 years ago)
PAC ID
2163672239
Group Practice PAC ID
1850787995
Professional Enrollment ID
I20220629000949
Address ID
WI532204305MI4935XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

Provider Addresses for DR. NENNA N EGBOH (M.D.)

  • 1240 S CEDAR CREST BLVD STE 410

    ALLENTOWN, PA 181036218

    Phone: (610) 402-5200

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20121025000673IInternal MedicineOHTBD
I20200504002135IEmergency MedicineTXTBD
I20201023002346IInternal MedicinePATBD
I20210806001519IInternal MedicineNVTBD
I20220628000792IInternal MedicineOKTBD
I20220629000949IInternal MedicineWITBD

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 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 18103)

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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: 1850787995View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineTX

Reviews

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Frequently asked questions

Can I verify DR. NENNA N EGBOH (M.D.) with an NPI only?
You can start verification with NPI 1104053800 for DR. NENNA N EGBOH (M.D.), then check state licensing separately.
Is DR. NENNA N EGBOH (M.D.) listed as active for patients and plans?
The listing shows DR. NENNA N EGBOH (M.D.) as active in the NPI system.
What healthcare role does DR. NENNA N EGBOH (M.D.) hold?
Scheduling teams often label DR. NENNA N EGBOH (M.D.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. NENNA N EGBOH (M.D.)?
DR. NENNA N EGBOH (M.D.)'s geographic hint is Allentown, Pennsylvania in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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