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

Q: 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.

Q: What is Chika Mbolu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Chika Mbolu was last updated on October 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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