Look up the most recent NPI and PECOS records

Obinna Chukwudi Igwilo

Surgery

Allopathic & Osteopathic Physicians

7300 S Raeford Rd Rm 2528, Fayetteville, NC 28304-6162

PECOS Enrollment

This provider is enrolled in PECOS as OBINNA IGWILO.

Based on the most recent information from CMS, provider Obinna Chukwudi Igwilo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1790954352
Provider Type
Individual
Full Name
Igwilo, Obinna Chukwudi
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
2/27/2008
Last Updated
8/20/2019

Contact Information

Practice Location

7300 S Raeford Rd Rm 2528, Fayetteville, NC 28304-6162

(910) 475-6373

Unlisted Fax

Mailing Location

PO Box 87126, Fayetteville, NC 28304-7126

(910) 426-2224

(910) 826-2228

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 200100381 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 89128RX	Description Medicaid	Issuer Unlisted North Carolina

Obinna Chukwudi Igwilo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Chaudhuri, Debi P

Chen, Xi

Morfesis, Florias Andrew

Sawyer, Elizabeth Marie

Carolina Surgical Specialists, Pa

Horowitz, Joel I

Mccullough, Daniel Grant

Faillace, Deon F

Owen Drive Surgical Clinic, Pa

Bryant, Michael Steven