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DR. CHIAGOZIEM JANE NDULUE MD
NPI 1780173864
Family Medicine in O Fallon, IL

Active since May 04, 2018PECOS EnrolledAccepts Medicare Assignment
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269(618) 233-5480(618) 222-4792 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2024, May 12, 2023, Jun 15, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Chiagoziem Jane Ndulue Md NPPES

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

DR. CHIAGOZIEM JANE NDULUE MD (NPI 1780173864) is an individual family medicine provider in O Fallon, Illinois, licensed in Illinois (036171759) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Red Bud Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780173864
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHIAGOZIEM JANE NDULUECredential: MD
Location Address3 SAINT ELIZABETH BLVD STE 4000O Fallon, IL 62269-1284
Mailing Address3 Saint Elizabeth Blvd Ste 4000O Fallon, IL 62269-1284 · (618) 233-5480 · Fax (618) 222-4792
Phone(618) 233-5480
Fax(618) 222-4792
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 4, 2018
Last NPPES UpdateOctober 14, 20244 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
✔ NPI 1780173864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036171759✔ Licensed in NC · 2023-00632✔ Licensed in WA · ML60866561
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269
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Other Names 1

Former Name (1)Chiagoziem Jane Obiajunwa

Secondary Practice Locations 2

Location 1931 S. Market BlvdChehalis, WA 98532 · Phone (360) 767-6300 · Fax (360) 767-6320
Location 2930 3rd StGreensboro, NC 27405-6967 · Phone (336) 890-3200 · Fax (336) 890-3290

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Chiagoziem Jane Ndulue 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 ID4880020130
PECOS Enrollment IDI20230525002095, I20240927001918
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

4

Medicare enrollment records show Chiagoziem Ndulue reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Illinois Healthcare Foundation Inc
Same address
Federally Qualified Health Center (FQHC)
3 SAINT ELIZABETH BLVD STE 4000
O Fallon, IL 62269
  • Reassigned Medicare billing, Illinois enrollment
  • 164 clinicians in this Medicare group
NPI 1225556996 (618) 233-5480
Deaconess Illinois Specialty Clinic, Inc.
21 mi
Interventional Cardiology
509 HAMACHER ST
Waterloo, IL 62298
  • Reassigned Medicare billing, Illinois enrollment
  • 228 clinicians in this Medicare group
NPI 1336856806 (618) 939-4200
The Moses H Cone Memorial Hospital Operating Corporation
582 mi
Internal Medicine
1200 N ELM ST
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 408 clinicians in this Medicare group
NPI 1356372064 (336) 832-9943
Pinnacle Urgent Care PLLC
598 mi
Family Medicine
3137 GARDEN RD
Burlington, NC 27215
  • Reassigned Medicare billing, North Carolina enrollment
  • 18 clinicians in this Medicare group
NPI 1437860889 (225) 235-0030

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Red Bud Regional Hospital

Critical Access Hospitals · Red Bud, IL
OwnershipProprietary
CMS Certification Number141348
Location325 Spring StreetRed Bud, IL 62278 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims30 services$5.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARA GRACE DOWNING MD
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
DR. NOAH M COOPERSTEIN MD
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 256-7311
DR. PATRICK BLOECHER MD
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-7880
BENJAMIN F WOOD MD
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
SALSAPELA HIYTHAM SHABAN MD
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
MARIA OCHIAI
Military Health Care Provider
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 256-9355
LUKE BRECHNER
Military Health Care Provider
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 256-9355
ALEX BRANDON BELONGY
General Practice
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 256-9355

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 Chiagoziem Ndulue's NPI number?

The NPI number for Chiagoziem Ndulue is 1780173864. It was assigned to this individual provider in the NPPES registry on May 4, 2018. The provider is also known as Chiagoziem Jane Obiajunwa.

Where is Chiagoziem Ndulue located?

Chiagoziem Ndulue practices at 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269. The listed phone number is (618) 233-5480.

What is Chiagoziem Ndulue's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Chiagoziem Ndulue enrolled in Medicare?

Yes. Chiagoziem Ndulue 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.

Which organizations bill Medicare for Chiagoziem Ndulue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chiagoziem Ndulue reassigns Medicare benefits to 4 organizations: Southern Illinois Healthcare Foundation Inc (O Fallon, IL), Deaconess Illinois Specialty Clinic, Inc. (Waterloo, IL), The Moses H Cone Memorial Hospital Operating Corporation (Greensboro, NC) and Pinnacle Urgent Care PLLC (Burlington, NC). 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 Chiagoziem Ndulue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chiagoziem Ndulue accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, AmeriHealth Caritas Next, Medica and UnitedHealthcare list Chiagoziem Ndulue 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.

Is Chiagoziem Ndulue affiliated with any hospitals?

According to CMS data, Chiagoziem Ndulue is affiliated with Red Bud Regional Hospital.

When was this NPI record last updated?

The NPPES record for Chiagoziem Ndulue was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.