OBINNA I MADUKA MD
NPI 1710065917
Pediatrics in North Windham, CT
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.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Obinna I Maduka Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Obinna Maduka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Farmington, CT 06032
- Reassigned Medicare billing, Connecticut enrollment
- 496 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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH WINDHAM, CT 06256
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 enrollment system.
Which organization bills Medicare for Obinna Maduka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Obinna Maduka reassigns Medicare benefits to Prohealth Physicians PC (Farmington, CT). The 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 Obinna Maduka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Obinna Maduka accept?
Health plans from Anthem Blue Cross and Blue Shield list Obinna Maduka 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.
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.
# Obinna I Maduka, MD · NPI 1710065917
Pediatrics physician in North Windham, Connecticut. Individual provider, active in the CMS NPPES registry since November 2, 2006.
## Identity
- **NPI:** 1710065917 (Entity type: Individual)
- **Enumerated:** November 2, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 037518 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 387 TUCKIE RD STE C, North Windham, CT 06256-1355
- **Phone:** (860) 456-1279 · **Fax:** (860) 456-1298
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prohealth Physicians PC (NPI 1720194053, Farmington, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 001375189 (CT); Medicare UPIN F49845 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1710065917) · Data from the CMS NPPES public registry.