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OBINNA I MADUKA MD
NPI 1710065917
Pediatrics in North Windham, CT

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
387 TUCKIE RD STE C, NORTH WINDHAM, CT 06256(860) 456-1279(860) 456-1298 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Obinna I Maduka Md NPPES

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

OBINNA I MADUKA MD (NPI 1710065917) is an individual pediatrics provider in North Windham, Connecticut, licensed in Connecticut (037518) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1710065917
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameOBINNA I MADUKACredential: MD
Location Address387 TUCKIE RD STE CNorth Windham, CT 06256-1355
Mailing Address387 Tuckie Rd Ste CNorth Windham, CT 06256-1355 · (860) 456-1279 · Fax (860) 456-1298
Phone(860) 456-1279
Fax(860) 456-1298
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710065917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 037518
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
387 TUCKIE RD STE C, North Windham, CT 06256
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Other Names 1

Former Name (1)Obinna Maduka Md

Other Identifiers 2

Medicaid001375189CT
Medicare UPINF49845CT

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

Obinna I Maduka 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 ID6002846409
PECOS Enrollment IDI20050817000185
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06256 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

WINDHAM PRIMARY CARE LLC
Pediatrics (Adolescent Medicine)
387 TUCKIE RD STE C
NORTH WINDHAM, CT 06256
Southeastern Connecticut Planning Region (860) 456-1279

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 Obinna Maduka's NPI number?

The NPI number for Obinna Maduka is 1710065917. It was assigned to this individual provider in the NPPES registry on November 2, 2006. The provider is also known as Obinna Maduka MD.

Where is Obinna Maduka located?

Obinna Maduka practices at 387 Tuckie Rd Ste C, North Windham, CT 06256. The listed phone number is (860) 456-1279.

What is Obinna Maduka's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Obinna Maduka enrolled in Medicare?

Yes. Obinna Maduka 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 Obinna Maduka was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.