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CHUKWUELOKA OBIONWU JR. MD, CAQSM
NPI 1679929715
Family Medicine - Sports Medicine in Medford, MA

Active since May 08, 2016PECOS EnrolledAccepts Medicare Assignment
1 CABOT RD FL 2, MEDFORD, MA 02155(617) 665-1566(617) 591-4690 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Mar 27, 2018 (2 updates tracked since 2018).

About Chukwueloka Obionwu Jr. Md, Caqsm NPPES

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

CHUKWUELOKA OBIONWU JR. MD, CAQSM (NPI 1679929715) is an individual sports medicine provider in Medford, Massachusetts, licensed in Massachusetts (283078) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and maintains a secondary practice location in Cambridge.

NPPES Registry Identity

NPI1679929715
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameCHUKWUELOKA OBIONWU JR.Credential: MD, CAQSM
Location Address1 CABOT RD FL 2Medford, MA 02155-5117
Mailing Address1 Cabot Rd Fl 2Medford, MA 02155-5117 · (617) 665-1566 · Fax (617) 591-4690
Phone(617) 665-1566
Fax(617) 591-4690
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2015
Enumeration DateMay 8, 2016
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1679929715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in MA · 283078
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
1 CABOT RD FL 2, Medford, MA 02155
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Secondary Practice Location 1

Location 177 Massachusetts Avenue, Building E23Cambridge, MA 02139-4307 · Phone (617) 253-4481 · Fax (617) 258-0884

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

Chukwueloka Obionwu Jr. Md, Caqsm 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 ID547551434
PECOS Enrollment IDI20210211001093
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services36 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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

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

KYRA GLEASON
Physical Therapy Assistant
1 CABOT RD FL 2
MEDFORD, MA 02155
Middlesex County (773) 595-5250

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 Chukwueloka Obionwu's NPI number?

The NPI number for Chukwueloka Obionwu is 1679929715. It was assigned to this individual provider in the NPPES registry on May 8, 2016.

Where is Chukwueloka Obionwu located?

Chukwueloka Obionwu practices at 1 Cabot Rd Fl 2, Medford, MA 02155. The listed phone number is (617) 665-1566.

What is Chukwueloka Obionwu's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Chukwueloka Obionwu enrolled in Medicare?

Yes. Chukwueloka Obionwu 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 Chukwueloka Obionwu affiliated with any hospitals?

According to CMS data, Chukwueloka Obionwu is affiliated with Mount Auburn Hospital and Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Chukwueloka Obionwu was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.