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 EnrolledAccepts Medicare Assignment

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: October 25, 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, maintains a secondary practice location in Euclid, and is a graduate of Other (2016).

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

Medical School CMSOtherGraduated 2016

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 Anthem Blue Cross and Blue Shield, MedMutual.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

Charles Henri Mbala Ondobo Np 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 ID5698044550

PECOS Enrollment IDI20220929000577

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

Medicare enrollment records show Charles Henri Ondobo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeast Ohio Neighborhood Health Services, Inc.

9.0 mi

Primary Care

8300 HOUGH AVE
Cleveland, OH 44103

Reassigned Medicare billing, Ohio enrollment
40 clinicians in this Medicare group

NPI 1336150556 (216) 231-7700

Dedicated Ohio Holding LLC

1,074 mi

Internal Medicine

1395 NW 167TH ST
Miami, FL 33169

Reassigned Medicare billing, Ohio enrollment
41 clinicians in this Medicare group

NPI 1922631019 (305) 628-6117

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 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 10

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

SHARON WALKER MD

Internal Medicine