OBINNA O ADIBE, M.D. — NPI 1942476692 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery

CMS-1500 Box 24J / 33a • NPI

1942476692

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2086S0120X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Pediatric Surgery

Box 32 Service Location & ZIP+4

2100 ERWIN RD, DURHAM, NC, 27705-3941

✓ 9-Digit EDI 837 ZIP+4 (27705-3941)

Practice Phone & Referral Fax

(919) 684-8111

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1942476692 (OBINNA O ADIBE, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1942476692` (NPI-1 Individual Practitioner)
Provider / Legal Name	OBINNA O ADIBE, M.D.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Pediatric Surgery NUCC Code: `2086S0120X` (Surgery, Pediatric Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2100 ERWIN RD, DURHAM, NC, 27705-3941
Practice Telephone / Fax	Tel: (919) 684-8111
Administrative Mailing Address	5213 S ALSTON AVE, DURHAM, NC, 27713-4430
Enumeration & Last Sync	Enumerated: 2008-05-02 \| CMS Record Updated: 2014-11-25

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2100 ERWIN RD, DURHAM, NC, 27705-3941

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Plain-English Taxonomy & CMS Crosswalk (2086S0120X)

What Does Taxonomy Code 2086S0120X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0120X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Pediatric Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Surgery, Pediatric Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (OBINNA O ADIBE, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2086S0120X` — Surgery, Pediatric Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Pediatric Surgery	State: NC \| License: `2011-01098` \| Primary: Yes (Primary)
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: MO \| License: `2009023874` \| Primary: Secondary
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: KS \| License: `0433069` \| Primary: Secondary

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OBINNA O ADIBE, M.D. (NPI #1942476692)