Emmanuel A Omoba, MD in Buffalo, NY - Medicare Diagnostic Radiology

Emmanuel A Omoba, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Buffalo, New York. He graduated from medical school in 1984 and has 42 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Guam Healthcare Development Incorporated, Cook County, Guam X-ray, Anderson Medical Group Llc, Roswell Park Cancer Institute and his current practice location is Elm And Carlton St, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 845-2300.

Emmanuel A Omoba is licensed to practice in Illinois (license number 036085089) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346342342.

Contact Information

	Emmanuel A Omoba, MD
	Elm And Carlton St, Buffalo, NY 14263-0001
	(716) 845-2300
	(716) 845-3549

Map and Direction

Physician's Profile

Full Name	Emmanuel A Omoba
Gender	Male
Speciality	Diagnostic Radiology
Experience	42 Years
Location	Elm And Carlton St, Buffalo, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Emmanuel A Omoba graduated from medical school in 1984

NPI Data:

NPI Number: 1346342342
Provider Enumeration Date: 09/01/2006
Last Update Date: 08/29/2024

Medicare PECOS Information:

PECOS PAC ID: 7517868938
Enrollment ID: I20200206001092

Medical Identifiers

Medical identifiers for Emmanuel A Omoba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346342342	NPI	-	NPPES
32447500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	317782 (New York)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	63114 (Minnesota)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	33539 (Wisconsin)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD-44772 (Iowa)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	M-2206 (Guam)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	036085089 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Anderson Hospital	Maryville, IL	Hospital
Community Hospital Of Staunton	Staunton, IL	Hospital
John H Stroger Jr Hospital	Chicago, IL	Hospital
Guam Regional Medical City	Dededo, GU	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Guam Healthcare Development Incorporated	9234351776	209
Cook County	2860398088	795
Guam X-ray	8123180742	33
Anderson Medical Group Llc	5193792018	137
Roswell Park Cancer Institute	3577475110	494

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Emmanuel A Omoba allows following entities to bill medicare on his behalf.

Entity Name	Guam Healthcare Development Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326447939 PECOS PAC ID: 9234351776 Enrollment ID: O20150326000266

Entity Name	Guam X-ray
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376767426 PECOS PAC ID: 8123180742 Enrollment ID: O20210325002365

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emmanuel A Omoba is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Emmanuel A Omoba, MD 509 W University Ave, Urbana, IL 61801-1645 Ph: (715) 615-2078	Emmanuel A Omoba, MD Elm And Carlton St, Buffalo, NY 14263-0001 Ph: (716) 845-2300

Reviews and Comments

Radiology Doctors in Buffalo, NY

Dr. Gregory S Shields, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 High St, Buffalo, NY 14203 Phone: 716-859-2954 Fax: 716-859-2962
Weining Ma, MB Radiology Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300
Dr. Varun Kumar Chowdhry, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton Street, Buffalo, NY 14263 Phone: 716-845-2300
Drew Frederick Pierce, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 219 Bryant St, Buffalo, NY 14222 Phone: 716-878-7000
Rachel Leafe, RT(R), RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 414 Virginia St, Buffalo, NY 14201 Phone: 716-427-4541
Michael Kuettel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300 Fax: 716-845-8254
Robert E Lutnick, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 222 Genesee Street, Buffalo, NY 14203 Phone: 716-855-2866

Emmanuel A Omoba, MD - Medicare Diagnostic Radiology in Buffalo, NY