ONYEDIKA VICTOR UMEANAETO MD
NPI 1285122861
Internal Medicine in West Monroe, LA

Q: What is Onyedika Umeanaeto's NPI number?

The NPI number for Onyedika Umeanaeto is 1285122861. It was assigned to this individual provider in the NPPES registry on April 29, 2018.

Q: What is Onyedika Umeanaeto's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 29, 2018PECOS EnrolledAccepts Medicare Assignment

86.76/100

CMS Quality Rating

503 MCMILLAN RD, WEST MONROE, LA 71291(318) 329-4200 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2021, Aug 6, 2021, Apr 29, 2018 (3 updates tracked since 2018).

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About Onyedika Victor Umeanaeto Md NPPES

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

ONYEDIKA VICTOR UMEANAETO MD (NPI 1285122861) is an individual internal medicine provider in West Monroe, Louisiana, licensed in Louisiana (328317) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Tristar Horizon Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285122861

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameONYEDIKA VICTOR UMEANAETOCredential: MD

Location Address503 MCMILLAN RDWest Monroe, LA 71291-5327

Mailing Address2222 Graycliff Dr Apt 217Dallas, TX 75228-7222 · (929) 204-3933

Phone(318) 329-4200

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 29, 2018

Last NPPES UpdateApril 22, 20253 updates tracked since enumeration

NPPES CertifiedApril 22, 2025

✔ NPI 1285122861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in LA · 328317✔ Licensed in KY · 56515

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License U2028 (TX)

503 MCMILLAN RD, West Monroe, LA 71291

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Secondary Practice Locations 2

Location 14800 Alberta AveEl Paso, TX 79905-2709 · Phone (915) 215-5177

Location 21201 Pleasant Valley RdOwensboro, KY 42303-9811 · Phone (270) 417-5911

Other Identifiers 1

Other1285122861Cms

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, HMO Louisiana, Molina Healthcare and more.Insurance ›

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

Onyedika Victor Umeanaeto 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.

PECOS PAC ID1759779242

PECOS Enrollment IDI20220406002253, I20240802002037

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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

298 services135 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

170 services101 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

138 services137 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

68 services68 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tristar Horizon Medical Center

Acute Care Hospitals · Dickson, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440046

Location111 Highway 70 EastDickson, TN 37055 · Dickson County

Emergency services Birthing friendly

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450058

Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County

Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450388

Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71291 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.76/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.78

Improvement Activities

Cost

74.27

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers15 claims15 services$15.67 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims15 services$75.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. JOHN EDWARD ZITZMANN III R.PH.

Pharmacist