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CHIKA MIRIAM MBOLU MD
NPI 1043950629
Internal Medicine in Hawthorne, NY

Active since March 31, 2022PECOS Enrolled
19 BRADHURST AVE, HAWTHORNE, NY 10532(914) 493-7701 Get Directions Write a Review

NPPES record last updated: October 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2025, Apr 7, 2022 (2 updates tracked since 2022).

About Chika Miriam Mbolu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHIKA MIRIAM MBOLU MD (NPI 1043950629) is an individual internal medicine provider in Hawthorne, New York, licensed in New Jersey (25MA12648600) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Montclair, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043950629
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCHIKA MIRIAM MBOLUCredential: MD
Location Address19 BRADHURST AVEHawthorne, NY 10532-2140
Mailing Address19 Bradhurst AveHawthorne, NY 10532-2140 · (914) 493-7701
Phone(914) 493-7701
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 31, 2022
Last NPPES UpdateOctober 26, 20252 updates tracked since enumeration
NPPES CertifiedOctober 26, 2025
✔ NPI 1043950629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA12648600
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
19 BRADHURST AVE, Hawthorne, NY 10532
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Secondary Practice Location 1

Location 11 Bay AveMontclair, NJ 07042-4837 · Phone (973) 429-6196

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chika Miriam Mbolu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759805989
PECOS Enrollment IDI20260310001413
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Chika Mbolu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates Of New Jersey, LLC
59 mi
General Practice
116 VILLAGE BLVD STE 200
Princeton, NJ 08540
  • Reassigned Medicare billing, New Jersey enrollment
  • 421 clinicians in this Medicare group
NPI 1174187728 (877) 868-5351

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORDELIA V SHARMA MD
Internal Medicine (Critical Care Medicine)
19 BRADHURST AVE, SUITE 3040N
HAWTHORNE, NY 10532
Westchester County (914) 493-6820
DR. AMY MICHELLE WASSERMAN M.D.
Internal Medicine (Rheumatology)
19 BRADHURST AVE, SUITE 3070N
HAWTHORNE, NY 10532
Westchester County (914) 372-7887
GIFTY ADJEI-DUGBATEY FNP
Nurse Practitioner (Primary Care)
19 BRADHURST AVE
HAWTHORNE, NY 10532
Westchester County (347) 369-8719
KARIM BAKASH SOLANGI MD
Internal Medicine (Nephrology)
19 BRADHURST AVE, SUITE 200N
HAWTHORNE, NY 10532
Westchester County (914) 493-7701
CARMELO ANTHONY PUCCIO M.D.
Internal Medicine (Medical Oncology)
19 BRADHURST AVE, SUITE 2100
HAWTHORNE, NY 10532
Westchester County (914) 493-8375
DR. JOSEPH VOZZOLO M.D.
Internal Medicine (Cardiovascular Disease)
19 BRADHURST AVE, SUITE 700
HAWTHORNE, NY 10532
Westchester County (914) 337-3500
JOSE L MUNOZ MD
Pediatrics (Pediatric Infectious Diseases)
19 BRADHURST AVE, STE. 1400
HAWTHORNE, NY 10532
Westchester County (914) 493-8333
DR. SEI IWAI MD
Internal Medicine (Clinical Cardiac Electrophysiology)
19 BRADHURST AVE, SUITE 3850S
HAWTHORNE, NY 10532
Westchester County (914) 909-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chika Mbolu's NPI number?

The NPI number for Chika Mbolu is 1043950629. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Chika Mbolu located?

Chika Mbolu practices at 19 Bradhurst Ave, Hawthorne, NY 10532. The listed phone number is (914) 493-7701.

What is Chika Mbolu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Chika Mbolu enrolled in Medicare?

Yes. Chika Mbolu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chika Mbolu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chika Mbolu reassigns Medicare benefits to Signify Health Medical Associates Of New Jersey, LLC (Princeton, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chika Mbolu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chika Mbolu was last updated on October 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.