DR. OSAMUYI IDUBOR DO
NPI 1740741644
Internal Medicine - Pulmonary Disease in Chattanooga, TN

Q: What is Osamuyi Idubor's NPI number?

The NPI number for Osamuyi Idubor is 1740741644. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Q: What is Osamuyi Idubor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Osamuyi Idubor was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment

725 GLENWOOD DR STE E500, CHATTANOOGA, TN 37404(423) 495-2635(423) 495-2638 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Osamuyi Idubor Do NPPES

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

DR. OSAMUYI IDUBOR DO (NPI 1740741644) is an individual pulmonary disease provider in Chattanooga, Tennessee, licensed in Tennessee (6411) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Chi Memorial Hospital- Georgia, and is a graduate of Philadelphia College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1740741644

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. OSAMUYI IDUBORCredential: DO

Location Address725 GLENWOOD DR STE E500Chattanooga, TN 37404-1138

Mailing AddressPo Box 80426Chattanooga, TN 37414-7426 · (423) 495-6841

Phone(423) 495-2635

Fax(423) 495-2638

Sole ProprietorYes

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2019

Enumeration DateMarch 26, 2019

Last NPPES UpdateSeptember 29, 2025

NPPES CertifiedSeptember 29, 2025

✔ NPI 1740741644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TN · 6411

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

725 GLENWOOD DR STE E500, Chattanooga, TN 37404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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. Osamuyi Idubor 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 ID9537582382

PECOS Enrollment IDI20250820001129

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 2

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

Chi Memorial Hospital- Georgia

Acute Care Hospitals · Fort Oglethorpe, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number110236

Location100 Gross Crescent CircleFort Oglethorpe, GA 30742 · Catoosa County

Emergency services

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 6

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

DR. SUMIT M PATEL M.D.

Internal Medicine (Pulmonary Disease)