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MR. IKECHUKWU CHARLES NWABUOBI NP
NPI 1083283634
Nurse Practitioner - Adult Health in Rancho Mirage, CA

Active since June 18, 2021PECOS Enrolled
72047 DINAH SHORE DR STE C4, RANCHO MIRAGE, CA 92270(760) 770-7600 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Ikechukwu Charles Nwabuobi Np NPPES

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

MR. IKECHUKWU CHARLES NWABUOBI NP (NPI 1083283634) is an individual adult health provider in Rancho Mirage, California, licensed in California (95017581) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083283634
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. IKECHUKWU CHARLES NWABUOBICredential: NP
Location Address72047 DINAH SHORE DR STE C4Rancho Mirage, CA 92270-1783
Mailing Address409 E Thornton Ave Apt W202Hemet, CA 92543-7657 · (917) 605-4369
Phone(760) 770-7600
Sole ProprietorNo
Enumeration DateJune 18, 2021
NPPES CertifiedMay 11, 2021
✔ NPI 1083283634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95017581
72047 DINAH SHORE DR STE C4, Rancho Mirage, CA 92270
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ikechukwu Charles Nwabuobi Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

4

Medicare enrollment records show Ikechukwu Nwabuobi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellness Star LLC
33 mi
Nurse Practitioner
409 E THORNTON AVE APT W202
Hemet, CA 92543
  • Reassigned Medicare billing, California enrollment
NPI 1043131162 (111) 111-1111
Legacy Marketing Worldwide Inc.
107 mi
Primary Care
5015 EAGLE ROCK BLVD STE 205
Los Angeles, CA 90041
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1336505197 (747) 300-7541
West Coast Wound And Skin Care Inc
114 mi
Surgery
2309 W VICTORY BLVD
Burbank, CA 91506
  • Reassigned Medicare billing, California enrollment
  • 50 clinicians in this Medicare group
NPI 1437675980 (818) 856-9535
Minghsun Liu, M.D., PC
116 mi
Infectious Disease
11103 VENICE BLVD
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Minghsun Liu MD PC
  • 95 clinicians in this Medicare group
NPI 1518309368 (954) 923-7440

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 92270 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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

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

RUPINDER MANN M D INC
Specialist
72047 DINAH SHORE DR STE C4
RANCHO MIRAGE, CA 92270
Riverside County (760) 770-7600

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 Ikechukwu Nwabuobi's NPI number?

The NPI number for Ikechukwu Nwabuobi is 1083283634. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Ikechukwu Nwabuobi located?

Ikechukwu Nwabuobi practices at 72047 Dinah Shore Dr Ste C4, Rancho Mirage, CA 92270. The listed phone number is (760) 770-7600.

What is Ikechukwu Nwabuobi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Ikechukwu Nwabuobi enrolled in Medicare?

Yes. Ikechukwu Nwabuobi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ikechukwu Nwabuobi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ikechukwu Nwabuobi reassigns Medicare benefits to 4 organizations: Wellness Star LLC (Hemet, CA), Legacy Marketing Worldwide Inc. (Los Angeles, CA), West Coast Wound And Skin Care Inc (Burbank, CA) and Minghsun Liu, M.D., PC (Los Angeles, CA). Each 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 Ikechukwu Nwabuobi'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 Ikechukwu Nwabuobi was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.