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DR. NDIDIAMAKA O OBADAN M.D.,MS
NPI 1225385248
Internal Medicine - Nephrology in Kennesaw, GA

Active since August 08, 2012PECOS EnrolledAccepts Medicare Assignment
3105 CREEKSIDE VILLAGE DR NW STE 801, KENNESAW, GA 30144(404) 566-4623 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 29, 2026, Oct 31, 2022, Oct 21, 2022 and 4 more (7 updates tracked since 2018).

About Dr. Ndidiamaka O Obadan M.d.,ms NPPES

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

DR. NDIDIAMAKA O OBADAN M.D.,MS (NPI 1225385248) is an individual nephrology provider in Kennesaw, Georgia, licensed in Georgia (84055) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1225385248
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. NDIDIAMAKA O OBADANCredential: M.D.,MS
Location Address3105 CREEKSIDE VILLAGE DR NW STE 801Kennesaw, GA 30144-4218
Mailing Address3105 Creekside Village Dr Nw Ste 801Kennesaw, GA 30144-4218 · (404) 566-4623
Phone(404) 566-4623
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 8, 2012
Last NPPES UpdateApril 29, 20267 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1225385248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in GA · 84055✔ Licensed in SC · 37945✔ Licensed in ID · 7271580
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 37945 (SC)
Also ListedInternal Medicine · Hypertension SpecialistTaxonomy 207RH0005X · License 84055 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3105 CREEKSIDE VILLAGE DR NW STE 801, Kennesaw, GA 30144
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Other Names 1

Former Name (1)Dr. Ndidiamaka O Egbochuku M.b.b.s

Secondary Practice Locations 2

Location 1506 Lenox AveNew York, NY 10037-1802 · Phone (212) 939-2291
Location 24300 E Flamingo AveNampa, ID 83687-3138 · Phone (208) 463-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ndidiamaka O Obadan M.d.,ms 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.

PECOS PAC ID4981912847
PECOS Enrollment IDI20260513002768
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 30144 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 2

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

MARILYN DIANE PEARCE LMFT, PH.D.
Marriage & Family Therapist
3105 CREEKSIDE VILLAGE DR NW STE 801
KENNESAW, GA 30144
Cobb County (678) 468-9103
YOUTHFULMD INTEGRATIVE HEALTH LLC
Internal Medicine (Nephrology)
3105 CREEKSIDE VILLAGE DR NW STE 801
KENNESAW, GA 30144
Cobb County (781) 475-2735

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 Ndidiamaka Obadan's NPI number?

The NPI number for Ndidiamaka Obadan is 1225385248. It was assigned to this individual provider in the NPPES registry on August 8, 2012.

Where is Ndidiamaka Obadan located?

Ndidiamaka Obadan practices at 3105 Creekside Village Dr NW Ste 801, Kennesaw, GA 30144. The listed phone number is (404) 566-4623.

What is Ndidiamaka Obadan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ndidiamaka Obadan enrolled in Medicare?

Yes. Ndidiamaka Obadan 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.

When was this NPI record last updated?

The NPPES record for Ndidiamaka Obadan was last updated on April 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.