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EMAMUZO OBARO OTOBO MD
NPI 1932601580
Internal Medicine in Bronx, NY

Active since February 28, 2018PECOS EnrolledAccepts Medicare Assignment
3424 KOSSUTH AVE STE 9C-01, BRONX, NY 10467(718) 519-4654(718) 519-3734 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2022, Jan 20, 2022, Feb 28, 2018 (3 updates tracked since 2018).

About Emamuzo Obaro Otobo Md NPPES

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

EMAMUZO OBARO OTOBO MD (NPI 1932601580) is an individual internal medicine provider in Bronx, New York, licensed in New York (312791) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932601580
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEMAMUZO OBARO OTOBOCredential: MD
Location Address3424 KOSSUTH AVE STE 9C-01Bronx, NY 10467-2410
Mailing Address3424 Kossuth Ave Ste 9c-01Bronx, NY 10467-2410 · (718) 519-4654 · Fax (718) 519-3734
Phone(718) 519-4654
Fax(718) 519-3734
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 28, 2018
Last NPPES UpdateMay 25, 20223 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1932601580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 312791
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3424 KOSSUTH AVE STE 9C-01, Bronx, NY 10467
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Secondary Practice Locations 2

Location 1315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-1550 · Fax (518) 525-6545
Location 22215 Burdett AveTroy, NY 12180-2466 · Phone (518) 271-3300 · Fax (518) 271-3440

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emamuzo Obaro Otobo 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 ID9638564305
PECOS Enrollment IDI20220315002230
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.

Hospital Affiliations CMS Care Compare 2

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Emamuzo Otobo's NPI number?

The NPI number for Emamuzo Otobo is 1932601580. It was assigned to this individual provider in the NPPES registry on February 28, 2018.

Where is Emamuzo Otobo located?

Emamuzo Otobo practices at 3424 Kossuth Ave Ste 9c-01, Bronx, NY 10467. The listed phone number is (718) 519-4654.

What is Emamuzo Otobo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Emamuzo Otobo enrolled in Medicare?

Yes. Emamuzo Otobo 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.

Is Emamuzo Otobo affiliated with any hospitals?

According to CMS data, Emamuzo Otobo is affiliated with St Peter's Hospital and White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Emamuzo Otobo was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.