THECLA IHUAKU OBI NP
NPI 1679801633
Nurse Practitioner - Family in Rochester, NY

Active since December 02, 2009PECOS EnrolledAccepts Medicare Assignment
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-4518 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 20, 2025, Sep 7, 2022 (2 updates tracked since 2022).

About Thecla Ihuaku Obi Np NPPES

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

THECLA IHUAKU OBI NP (NPI 1679801633) is an individual family provider in Rochester, New York, licensed in New York (338190) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1679801633
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHECLA IHUAKU OBICredential: NP
Location Address1425 PORTLAND AVERochester, NY 14621-3011
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 2, 2009
Last NPPES UpdateFebruary 20, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
NPI 1679801633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 338190
Also ListedRegistered NurseTaxonomy 163W00000X · License 576732 (NY)
1425 PORTLAND AVE, Rochester, NY 14621

Secondary Practice Location 1

Location 1322 Lake Ave, Brown Square CenterRochester, NY 14608-7141 · Phone (585) 254-6480 · Fax (585) 254-1092

Other Identifiers 2

Medicaid03734892NY
OtherJ400240135NY · Medicare Ptan

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

Thecla Ihuaku Obi Np 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 ID840424743
PECOS Enrollment IDI20140224001499
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.

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621

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 Thecla Obi's NPI number?

The NPI number for Thecla Obi is 1679801633. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Where is Thecla Obi located?

Thecla Obi practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4518.

What is Thecla Obi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Thecla Obi enrolled in Medicare?

Yes. Thecla Obi 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.

Is Thecla Obi affiliated with any hospitals?

According to CMS data, Thecla Obi is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Thecla Obi was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.