SHOLA OBIKU
NPI 1790586394
Registered Nurse in Enfield, CT
About Shola Obiku NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHOLA OBIKU (NPI 1790586394) is an individual registered nurse in Enfield, Connecticut, licensed in Massachusetts (2336642) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Baystate Noble Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Shola Obiku 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.
Medicare Billing Reassignment
Medicare enrollment records show Shola Obiku reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Holyoke, MA 01040
- Reassigned Medicare billing, Massachusetts enrollment
- 7 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baystate Noble Hospital
Acute Care Hospitals · Westfield, MABaystate Medical Center
Acute Care Hospitals · Springfield, MAFrequently 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 Shola Obiku's NPI number?
The NPI number for Shola Obiku is 1790586394. It was assigned to this individual provider in the NPPES registry on March 20, 2025.
Where is Shola Obiku located?
Shola Obiku practices at 40 Foxcroft Rd, Enfield, CT 06082. The listed phone number is (413) 234-5556.
What is Shola Obiku's specialty?
The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.
Is Shola Obiku enrolled in Medicare?
Yes. Shola Obiku 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 organization bills Medicare for Shola Obiku's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shola Obiku reassigns Medicare benefits to Impact Physician Group Massachusetts PLLC (Holyoke, MA). 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 Shola Obiku's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shola Obiku affiliated with any hospitals?
According to CMS data, Shola Obiku is affiliated with Baystate Noble Hospital and Baystate Medical Center.
When was this NPI record last updated?
The NPPES record for Shola Obiku was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Shola Obiku · NPI 1790586394
Registered Nurse provider in Enfield, Connecticut. Individual provider, active in the CMS NPPES registry since March 20, 2025.
## Identity
- **NPI:** 1790586394 (Entity type: Individual)
- **Enumerated:** March 20, 2025
- **Primary specialty:** Registered Nurse · taxonomy 163W00000X
- **State license:** 2336642 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 40 FOXCROFT RD, Enfield, CT 06082-2463
- **Phone:** (413) 234-5556
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Impact Physician Group Massachusetts PLLC (NPI 1295533206, Holyoke, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790586394) · Data from the CMS NPPES public registry.