IKENNA E OBASI MD
NPI 1750649455
Psychiatry & Neurology - Psychiatry in Woodbury, MN

Active since May 01, 2012PECOS Enrolled
1811 WEIR DR STE 270, WOODBURY, MN 55125(651) 714-9646(651) 714-9647 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2018, Feb 24, 2017 (2 updates tracked since 2017).

About Ikenna E Obasi Md NPPES

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

IKENNA E OBASI MD (NPI 1750649455) is an individual psychiatry provider in Woodbury, Minnesota, licensed in Minnesota (63230) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750649455
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameIKENNA E OBASICredential: MD
Location Address1811 WEIR DR STE 270Woodbury, MN 55125-6741
Mailing Address1100 Lake View DrWausau, WI 54403-6785 · (715) 848-4454 · Fax (715) 845-5398
Fax(651) 714-9647
Sole ProprietorNo
Enumeration DateMay 1, 2012
Last NPPES UpdateNovember 19, 20182 updates tracked since enumeration
✔ NPI 1750649455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in MN · 63230✔ Licensed in WI · 56761
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 56761 (WI)
1811 WEIR DR STE 270, Woodbury, MN 55125

Other Identifiers 1

Other56761WI · Wi State Lic

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)

Ikenna E Obasi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

11

Medicare enrollment records show Ikenna Obasi reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
423 E WASHINGTON ST
Round Lake Park, IL 60073
  • Reassigned Medicare billing, Illinois enrollment
  • 151 clinicians in this Medicare group
Community/Behavioral Health
615 E CROSSTOWN PKWY
Kalamazoo, MI 49001
  • Reassigned Medicare billing, Michigan enrollment
  • 72 clinicians in this Medicare group
General Acute Care Hospital
503 N MAPLE ST
Effingham, IL 62401
  • Reassigned Medicare billing, Illinois enrollment
  • 104 clinicians in this Medicare group
Pediatrics
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
897 mi
Community/Behavioral Health
201 W MARION ST STE 100
Shelby, NC 28150
  • Reassigned Medicare billing, North Carolina enrollment
  • 260 clinicians in this Medicare group
Psychiatry
3822 ROSEMONT DR UNIT B
Columbus, GA 31904
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
Critical Care Medicine
701 N BROADWAY
Sleepy Hollow, NY 10591
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 clinicians in this Medicare group
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Critical Care Medicine
1420 ROCKY RIDGE DR STE 300
Roseville, CA 95661
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 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 55125 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Mental Health)
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Professional)
1811 WEIR DR STE 270
WOODBURY, MN 55125
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125

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 Ikenna Obasi's NPI number?

The NPI number for Ikenna Obasi is 1750649455. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Ikenna Obasi located?

Ikenna Obasi practices at 1811 Weir Dr Ste 270, Woodbury, MN 55125. The listed phone number is (651) 714-9646.

What is Ikenna Obasi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ikenna Obasi enrolled in Medicare?

Yes. Ikenna Obasi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ikenna Obasi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ikenna Obasi reassigns Medicare benefits to 11 organizations: Nystrom & Associates, Ltd (New Brighton, MN), County Of Lake (Round Lake Park, IL), Kalamazoo County Community Mental Health Authority (Kalamazoo, MI), St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third (Effingham, IL), Henry Ford Health System (Detroit, MI) and 6 more organizations, listed in the Medicare section above. Each 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 Ikenna Obasi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ikenna Obasi accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of NC, Oscar Insurance Company, Priority Health and UnitedHealthcare list Ikenna Obasi 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 Ikenna Obasi was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.