JEREOHA CHIDERALUM NWOBODO
NPI 1316358518
Internal Medicine in Robbinsdale, MN

Active since May 12, 2014PECOS EnrolledAccepts Medicare Assignment
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422(763) 520-5200(763) 581-4771 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 12, 2024, Jun 26, 2018, Jun 11, 2018 (3 updates tracked since 2018).

About Jereoha Chideralum Nwobodo NPPES

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

JEREOHA CHIDERALUM NWOBODO (NPI 1316358518) is an individual internal medicine provider in Robbinsdale, Minnesota, licensed in Minnesota (63986) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2014).

NPPES Registry Identity

NPI1316358518
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJEREOHA CHIDERALUM NWOBODO
Location Address3300 OAKDALE AVE NRobbinsdale, MN 55422
Mailing Address3300 Oakdale Ave NRobbinsdale, MN 55422-2926 · (763) 520-5200 · Fax (763) 581-4771
Fax(763) 581-4771
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2014
Enumeration DateMay 12, 2014
Last NPPES UpdateApril 12, 20243 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1316358518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 63986
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 63986 (MN)
3300 OAKDALE AVE N, Robbinsdale, MN 55422

Accepted Insurance

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

Jereoha Chideralum Nwobodo 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 ID7012264237
PECOS Enrollment IDI20180719000980
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.

Medicare Billing Reassignments

11

Medicare enrollment records show Jereoha Nwobodo reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation Unit
3300 OAKDALE AVE N
Robbinsdale, MN 55422
  • Reassigned Medicare billing, Minnesota enrollment
  • 540 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Family Medicine
2680 SNELLING AVE N, SUITE 200
Roseville, MN 55113
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Family Medicine
500 W BROADWAY ST
Missoula, MT 59802
  • Reassigned Medicare billing, Minnesota enrollment
Pulmonary Disease
101 W 8TH AVE, MOTHER GAMELIN CENTER 3RD FLOOR
Spokane, WA 99204
  • Reassigned Medicare billing, Minnesota enrollment
Family Medicine
380 CHASE AVENUE, PMG SE WA
Walla Walla, WA 99362
  • Reassigned Medicare billing, Minnesota enrollment
General Practice
900 PACIFIC AVE, STE 501
Everett, WA 98201
  • Reassigned Medicare billing, Minnesota enrollment
Family Medicine
525 LILLY RD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Minnesota enrollment
Internal Medicine
4400 NE HALSEY ST
Portland, OR 97213
  • Reassigned Medicare billing, Minnesota enrollment
Clinic/Center
9205 SW BARNES RD, SUITE 20
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 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 3

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.

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.
82 services79 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
79 services78 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Maple Grove Hospital

Acute Care Hospitals · Maple Grove, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240214
Location9875 Hospital DriveMaple Grove, MN 55369 · Hennepin County
Emergency services Birthing friendly

Mason General Hospital & Family Of Clinics

Critical Access Hospitals · Shelton, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501336
Location901 Mt View DriveShelton, WA 98584 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

Nurse Practitioner (Family)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Physical Medicine & Rehabilitation
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Family Medicine
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Radiology (Diagnostic Radiology)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Pathology (Anatomic Pathology & Clinical Pathology)
3300 OAKDALE AVE N
MINNEAPOLIS, MN 55422
Internal Medicine (Cardiovascular Disease)
3300 OAKDALE AVE N, #200
MINNEAPOLIS, MN 55422
Internal Medicine (Interventional Cardiology)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Nurse Practitioner
3300 OAKDALE AVE N, SUITE 200
MINNEAPOLIS, MN 55422

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 Jereoha Nwobodo's NPI number?

The NPI number for Jereoha Nwobodo is 1316358518. It was assigned to this individual provider in the NPPES registry on May 12, 2014.

Where is Jereoha Nwobodo located?

Jereoha Nwobodo practices at 3300 Oakdale Ave N, Robbinsdale, MN 55422. The listed phone number is (763) 520-5200.

What is Jereoha Nwobodo's specialty?

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

Is Jereoha Nwobodo enrolled in Medicare?

Yes. Jereoha Nwobodo 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 Jereoha Nwobodo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jereoha Nwobodo reassigns Medicare benefits to 11 organizations: North Memorial Health Care (Robbinsdale, MN), Fairview Health Services (Minneapolis, MN), Healtheast Medical Research Institute (Roseville, MN), Providence Health & Services Mt (Missoula, MT), Providence Health & Services Washington (Spokane, WA) and 6 more organizations, listed in the Medicare section above. 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 Jereoha Nwobodo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jereoha Nwobodo accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jereoha Nwobodo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jereoha Nwobodo affiliated with any hospitals?

According to CMS data, Jereoha Nwobodo is affiliated with North Memorial Health Hospital, Park Nicollet Methodist Hospital, Maple Grove Hospital and Mason General Hospital & Family Of Clinics.

When was this NPI record last updated?

The NPPES record for Jereoha Nwobodo was last updated on April 12, 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.