IKENNA E OBASI (MD) – Psychiatry Physician, NPI 1750649455
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
746 PSYCHIATRY in MN
Provider Addresses for IKENNA E OBASI (MD)
1100 LAKE VIEW DR
WAUSAU, WI 544036785
Phone: (715) 848-4454
Fax: (715) 845-5398
Type: Mailing
1811 WEIR DR STE 270
WOODBURY, MN 551256741
Phone: (651) 714-9646
Fax: (651) 714-9647
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Gilead Sciences, Inc. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $24 |
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: 2022-12-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160909001605 | I | Psychiatry | MI | TBD |
| I20161019002170 | I | Psychiatry | NC | TBD |
| I20181017001377 | I | Psychiatry | MN | TBD |
| I20190131002713 | I | Psychiatry | GA | TBD |
| I20190501003020 | I | Psychiatry | IL | TBD |
| I20221228002142 | I | Psychiatry | WA | 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 54403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Critical Care (Intensivists) | NV | |
| N E U R O L O G Y | PA | |
| Nephrology, Internal Medicine | NV | |
| P S Y C H I A T R Y | VA | |
| Pulmonary Disease, Critical Care (Intensivists), Pulmonary Disease, Internal Medicine | CA |
Reviews
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