GABRIEL IKPONMOSA UWAIFO MD NPI 1043267818

NPI Information

NPI: 1043267818
Provider Name: GABRIEL IKPONMOSA UWAIFO, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

PECOS Registration: Yes

Address:
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-8000
Get Directions

Gabriel Ikponmosa Uwaifo, MD is an endocrinology and diabetes and metabolism internal medicine in Springfield, IL with 34 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Gabriel Ikponmosa Uwaifo, MD NPI is 1043267818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL
ZIP 62702-968
Phone: (217) 545-8000
Fax: (217) 545-1229

The NPI 1043267818 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 3/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	19937	MISSISSIPPI	No
2	207R00000X	Internal Medicine		036.166674	ILLINOIS	No
3	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	036.166674	ILLINOIS	Yes
4	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	MD.203716	LOUISIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	036166674	MEDICAID	ILLINOIS
2	401048500	MEDICAID	MARYLAND
3	58884349	MEDICAID	VIRGINIA
4	034604200	MEDICAID	DISTRICT OF COLUMBIA
5	106178	MEDICAID	ALABAMA
6	106178	MEDICAID	MISSISSIPPI
7	05538368	MEDICAID	MISSISSIPPI
8	1393959	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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