COLLINS O MBACHU MD
NPI 1164167755
Emergency Medicine in New York, NY
About Collins O Mbachu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLINS O MBACHU MD (NPI 1164167755) is an individual emergency medicine provider in New York, New York, licensed in Illinois (036179707) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Collins O Mbachu 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 Reassignments
2Medicare enrollment records show Collins Mbachu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60613
- Reassigned Medicare billing, Illinois enrollment
- 32 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Proctor Hospital
Acute Care Hospitals · Peoria, ILThorek Memorial Hospital
Acute Care Hospitals · Chicago, ILPekin Memorial Hospital
Acute Care Hospitals · Pekin, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10016 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.
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Collins Mbachu's NPI number?
The NPI number for Collins Mbachu is 1164167755. It was assigned to this individual provider in the NPPES registry on April 28, 2022.
Where is Collins Mbachu located?
Collins Mbachu practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 263-5506.
What is Collins Mbachu's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Collins Mbachu enrolled in Medicare?
Yes. Collins Mbachu 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 organizations bill Medicare for Collins Mbachu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Collins Mbachu reassigns Medicare benefits to 2 organizations: Epss LLC- Lakeside Series (Chicago, IL) and Carle Health Medical Group (Urbana, IL). 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 Collins Mbachu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Collins Mbachu affiliated with any hospitals?
According to CMS data, Collins Mbachu is affiliated with Proctor Hospital, Thorek Memorial Hospital and Pekin Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Collins Mbachu was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Collins O Mbachu, MD · NPI 1164167755
Emergency Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 28, 2022.
## Identity
- **NPI:** 1164167755 (Entity type: Individual)
- **Enumerated:** April 28, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036179707 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 1ST AVE, New York, NY 10016-6402
- **Phone:** (212) 263-5506
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Epss LLC- Lakeside Series (NPI 1861271181, Chicago, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2022
## Record status
- **NPPES last updated:** May 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164167755) · Data from the CMS NPPES public registry.