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DR. EMMANUEL NOSA OBANOR DO
NPI 1689615007
Internal Medicine - Gastroenterology in Lodi, CA

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
999 S FAIRMONT AVE, SUITE 125, LODI, CA 95240(209) 334-8514(209) 366-2661 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Emmanuel Nosa Obanor Do NPPES

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

DR. EMMANUEL NOSA OBANOR DO (NPI 1689615007) is an individual gastroenterology provider in Lodi, California, licensed in California (20A6988) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1689615007
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. EMMANUEL NOSA OBANORCredential: DO
Location Address999 S FAIRMONT AVE, SUITE 125Lodi, CA 95240-5100
Mailing AddressPo Box 241011Lodi, CA 95241-9511 · (209) 339-7435 · Fax (209) 333-3054
Phone(209) 334-8514
Fax(209) 366-2661
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 9, 2006
Last NPPES UpdateApril 4, 2017
✔ NPI 1689615007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · 20A6988
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 20A6988 (CA)
999 S FAIRMONT AVE, Lodi, CA 95240
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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. Emmanuel Nosa Obanor Do 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 ID2365582418
PECOS Enrollment IDI20091221000456
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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
217 services136 patients
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.
165 services87 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.
102 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95240 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

DR. DENNY SCHOCH M.D.
Surgery
999 S FAIRMONT AVE, SUITE 100
LODI, CA 95240
San Joaquin County (209) 334-2010
JAMES S. HOFF, M.D., A MEDICAL CORPORATION
Internal Medicine
999 S FAIRMONT AVE, SUITE 135
LODI, CA 95240
San Joaquin County (209) 224-5719
SUTTER GOULD MEDICAL FOUNDATION
Internal Medicine
999 S FAIRMONT AVE, #130/135
LODI, CA 95240
San Joaquin County (209) 366-2001
P. GILL OBSTETERICS & GYNECOLOGY MEDICAL GROUP, INC
Registered Nurse
999 S FAIRMONT AVE, STE. 230
LODI, CA 95240
San Joaquin County (209) 334-4924
DIANNA AKESH
Registered Nurse
999 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-0799
WALEED IBRAHIM M.D., INC.
Internal Medicine (Gastroenterology)
999 S FAIRMONT AVE, STE. 115
LODI, CA 95240
San Joaquin County (209) 334-7559
P. GILL OBSTETRICS & GYNECOLOGY MEDICAL GROUP, INC.
Obstetrics & Gynecology
999 S FAIRMONT AVE, STE 230
LODI, CA 95240
San Joaquin County (209) 465-5550
JOSEPH D GAYAGOY M.D.
Internal Medicine
999 S FAIRMONT AVE, SUITE 135
LODI, CA 95240
San Joaquin County (209) 366-2060

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 Emmanuel Obanor's NPI number?

The NPI number for Emmanuel Obanor is 1689615007. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Emmanuel Obanor located?

Emmanuel Obanor practices at 999 S Fairmont Ave Suite 125, Lodi, CA 95240. The listed phone number is (209) 334-8514.

What is Emmanuel Obanor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Emmanuel Obanor enrolled in Medicare?

Yes. Emmanuel Obanor 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 Emmanuel Obanor was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.