OKWUOLISA AMECHI IKEDIOBI (M.D.) – Family Medicine Physician, NPI 1326203035

OKWUOLISA AMECHI IKEDIOBI (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in HOSPITALIST, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD444511 (PA). The NPI Number for OKWUOLISA AMECHI IKEDIOBI (M.D.) is 1326203035

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
OKWUOLISA AMECHI IKEDIOBI (M.D.)
NPI
1326203035
Phone
(215) 728-6900
Address
2601 HOLME AVE
Enumeration Date
22 July 2008
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6092393900
Graduation Year
2001 (25 years ago)
PAC ID
2264606052
Group Practice PAC ID
2264781780
Professional Enrollment ID
I20150702002229
Address ID
NJ080163858BU902XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

2,430 HOSPITALIST in PA

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Provider Addresses for OKWUOLISA AMECHI IKEDIOBI (M.D.)

  • Nazareth Hospital, 2601, Holme Avenue, Pennypack Park, Philadelphia, Philadelphia County, Pennsylvania, 19152, United States

    PHILADELPHIA, PA 191522007

    Phone: (215) 728-6900

    Fax: (215) 214-1425

    Type: Mailing

  • 2500 MARYLAND RD

    STE 400

    WILLOW GROVE, PA 190901225

    Phone: (215) 728-6900

    Fax: (215) 214-1425

    Type: Mailing

  • Cottman Avenue, Philadelphia, Philadelphia County, Pennsylvania, 19135, United States

    PHILADELPHIA, PA 191112434

    Phone: (215) 728-2844

    Fax: (215) 214-1425

    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 $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($18).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-01

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: 2015-07-02

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
I20120717000201IFamily PracticePATBD
I20150702002229IFamily PracticeNJTBD

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 minutes461186$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes281121$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes164125$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes11689$0
99239Hospital discharge day management, more than 30 minutes108106$0
View full utilization report →

Insurance plans in this area (ZIP 19152)

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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: 2264781780View full group profile
NameSpecialtyState
Internal MedicineNJ
Nurse PractitionerPA
Nurse PractitionerNJ
Physician AssistantNJ
Internal MedicineCA
Internal MedicineNJ
Internal Medicine, Pulmonary Disease, Sleep MedicineNJ
Internal MedicineNJ
Internal Medicine, Family PracticeNJ
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Sleep MedicineNJ

Reviews

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Frequently asked questions

Can I use this page to confirm OKWUOLISA AMECHI IKEDIOBI (M.D.)'s NPI?
Yes. OKWUOLISA AMECHI IKEDIOBI (M.D.) is listed with NPI 1326203035 in the public NPI dataset.
Does CMS list OKWUOLISA AMECHI IKEDIOBI (M.D.) as active?
Yes — OKWUOLISA AMECHI IKEDIOBI (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes OKWUOLISA AMECHI IKEDIOBI (M.D.)?
For research purposes, treat OKWUOLISA AMECHI IKEDIOBI (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is OKWUOLISA AMECHI IKEDIOBI (M.D.) based?
OKWUOLISA AMECHI IKEDIOBI (M.D.) is tied to Philadelphia, Pennsylvania in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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