OBI N NWASOKWA, MD, PHD, PC
NPI 1962533679
Internal Medicine - Cardiovascular Disease in Hollis, NY
About Obi N Nwasokwa, Md, Phd, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OBI N NWASOKWA, MD, PHD, PC (NPI 1962533679) is a healthcare organization registered as a cardiovascular disease in Hollis, New York and active in the NPI registry since March 2007. The organization lists Obi N Nwasokwa, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Obi N Nwasokwa, Md, Phd, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Obi N Nwasokwa, MD, Phd, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Obi N Nwasokwa, MD, Phd, PC's NPI number?
The NPI number for Obi N Nwasokwa, MD, Phd, PC is 1962533679. It was assigned to this organization in the NPPES registry on March 7, 2007.
Where is Obi N Nwasokwa, MD, Phd, PC located?
Obi N Nwasokwa, MD, Phd, PC is located at 19719 Hillside Ave, Hollis, NY 11423. The listed phone number is (718) 479-7808.
What is Obi N Nwasokwa, MD, Phd, PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Obi N Nwasokwa, MD, Phd, PC enrolled in Medicare?
Yes. Obi N Nwasokwa, MD, Phd, PC is registered in the Medicare PECOS enrollment system.
When is Obi N Nwasokwa, MD, Phd, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Obi N Nwasokwa, MD, Phd, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Obi N Nwasokwa, MD, Phd, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Obi N Nwasokwa, MD, Phd, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Obi N Nwasokwa, Md, Phd, Pc · NPI 1962533679
Cardiovascular Disease organization in Hollis, New York. Organization record, active in the CMS NPPES registry since March 7, 2007.
## Identity
- **NPI:** 1962533679 (Entity type: Organization)
- **Enumerated:** March 7, 2007
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Obi Nwasokwa, PHYSICIAN
## Practice location
- **Address:** 19719 HILLSIDE AVE, Hollis, NY 11423-2126
- **Phone:** (718) 479-7808 · **Fax:** (718) 479-7491
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Cardiovascular Disease (Cardiology)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 01045743 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1962533679) · Data from the CMS NPPES public registry.