CHARLES HENRI MBALA ONDOBO NP
NPI 1861929465
Nurse Practitioner - Family in Cleveland, OH

Q: What is Charles Henri Ondobo's NPI number?

The NPI number for Charles Henri Ondobo is 1861929465. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Q: What is Charles Henri Ondobo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 15, 2017PECOS Enrolled

13719 LORAIN AVE, CLEVELAND, OH 44111(216) 307-3005(216) 710-5360 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 15, 2017 (2 updates tracked since 2017).

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About Charles Henri Mbala Ondobo Np NPPES

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

CHARLES HENRI MBALA ONDOBO NP (NPI 1861929465) is an individual family provider in Cleveland, Ohio, licensed in Ohio (020795) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Euclid.

NPPES Registry Identity

NPI1861929465

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameCHARLES HENRI MBALA ONDOBOCredential: NP

Location Address13719 LORAIN AVECleveland, OH 44111-3439

Mailing Address13719 Lorain AveCleveland, OH 44111-3439 · (216) 307-3005 · Fax (216) 710-5360

Phone(216) 307-3005

Fax(216) 710-5360

Sole ProprietorYes

Enumeration DateMay 15, 2017

Last NPPES UpdateOctober 25, 20242 updates tracked since enumeration

NPPES CertifiedOctober 25, 2024

✔ NPI 1861929465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · 020795

13719 LORAIN AVE, Cleveland, OH 44111

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Secondary Practice Location 1

Location 119570 Euclid Ave Apt 300Euclid, OH 44117-1434 · Phone (240) 643-2864

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Henri Mbala Ondobo Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44111 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 9

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

SHARON WALKER MD

Internal Medicine