MR. JIDEOFOR EBONY OBODOZIE MD
NPI 1124517289
Internal Medicine - Critical Care Medicine in Daytona Beach, FL
About Mr. Jideofor Ebony Obodozie Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JIDEOFOR EBONY OBODOZIE MD (NPI 1124517289) is an individual critical care medicine provider in Daytona Beach, Florida, licensed in Florida (ME165936) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Daytona Beach.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Jideofor Ebony Obodozie Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jideofor Obodozie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Daytona Beach, FL 32117
- Reassigned Medicare billing, Florida enrollment
- 733 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Orlando
Acute Care Hospitals · Orlando, FLAdventhealth Daytona Beach
Acute Care Hospitals · Daytona Beach, FLFlorida Hospital Flagler
Acute Care Hospitals · Palm Coast, FLAdventhealth Palm Coast Parkway
Acute Care Hospitals · Palm Coast, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DAYTONA BEACH, FL 32117
DAYTONA BEACH, FL 32117
DAYTONA BEACH, FL 32117
DAYTONA BEACH, FL 32117
DAYTONA BEACH, FL 32117
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 Jideofor Obodozie's NPI number?
The NPI number for Jideofor Obodozie is 1124517289. It was assigned to this individual provider in the NPPES registry on May 4, 2018.
Where is Jideofor Obodozie located?
Jideofor Obodozie practices at 301 Memorial Medical Pkwy, Daytona Beach, FL 32117. The listed phone number is (386) 231-6000.
What is Jideofor Obodozie's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Jideofor Obodozie enrolled in Medicare?
Yes. Jideofor Obodozie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jideofor Obodozie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jideofor Obodozie reassigns Medicare benefits to Florida Hospital Healthcare Partners, Inc (Daytona Beach, FL). 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 Jideofor Obodozie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jideofor Obodozie affiliated with any hospitals?
According to CMS data, Jideofor Obodozie is affiliated with Adventhealth Orlando, Adventhealth Daytona Beach, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.
When was this NPI record last updated?
The NPPES record for Jideofor Obodozie was last updated on June 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Jideofor Ebony Obodozie, MD · NPI 1124517289
Critical Care Medicine physician in Daytona Beach, Florida. Individual provider, active in the CMS NPPES registry since May 4, 2018.
## Identity
- **NPI:** 1124517289 (Entity type: Individual)
- **Enumerated:** May 4, 2018
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** ME165936 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 MEMORIAL MEDICAL PKWY, Daytona Beach, FL 32117-5167
- **Phone:** (386) 231-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Florida Hospital Healthcare Partners, Inc (NPI 1780100529, Daytona Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** June 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124517289) · Data from the CMS NPPES public registry.