CHARLES G NJINIMBAM MD
NPI 1114021615
Pediatrics - Neonatal-Perinatal Medicine in Indianapolis, IN

Q: What is Charles Njinimbam's NPI number?

The NPI number for Charles Njinimbam is 1114021615. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Q: What is Charles Njinimbam's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Charles Njinimbam was last updated on February 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 13, 2006PECOS Enrolled

1701 N SENATE AVE, A3162, INDIANAPOLIS, IN 46202(317) 962-8174(317) 962-1445 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Charles G Njinimbam Md NPPES

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

CHARLES G NJINIMBAM MD (NPI 1114021615) is an individual neonatal-perinatal medicine provider in Indianapolis, Indiana, licensed in Indiana (01039976) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114021615

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameCHARLES G NJINIMBAMCredential: MD

Location Address1701 N SENATE AVE, A3162Indianapolis, IN 46202-5306

Mailing AddressPo Box 1026Indianapolis, IN 46206-1026 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 962-8174

Fax(317) 962-1445

Sole ProprietorNo

Enumeration DateSeptember 13, 2006

Last NPPES UpdateFebruary 11, 2021

NPPES CertifiedFebruary 11, 2021

✔ NPI 1114021615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in IN · 01039976

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1701 N SENATE AVE, Indianapolis, IN 46202

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Other Identifiers 2

Medicaid200229850IN

Medicaid1510091TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles G Njinimbam Md 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.

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.

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