Individual provider Active NPI

Efewongbe Benedicta Oleghe

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1003224577
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57.024120 Issued in OH
Practice address
2351 E 22ND Street
St Vincent'S Charity Medical Center
Cleveland, OH 44115
Phone
(216) 363-2725
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.024120 OH Primary

Addresses

Primary practice location

2351 E 22ND Street
St Vincent'S Charity Medical Center
Cleveland, OH 44115

Mailing address

2351 E 22ND Street
St Vincent'S Charity Medical Center
Cleveland, OH 44115
Phone (216) 363-2725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170523000787 OH Practitioner - Internal Medicine 8224305214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomington Medical Services LLCGroup PAC ID 9032297627, 106 clinicians

Practice addresses (Care Compare)

1685 Cleveland Rd
Wooster, OH 44691-2335

1761 Beall Ave
Wooster, OH 44691-2342

2326 A Eagle Pass
Wooster, OH 44691-5338
Phone (330) 202-3477

Hospital & facility affiliations

  • Home Health Services Wooster Community Hospital Home health agency, Wooster, OH, CCN 367624
  • Lifecare Hospice Hospice, Wooster, OH, CCN 361544
  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036
  • West View Healthy Living Nursing home, Wooster, OH, CCN 366152

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
59.24
Promoting interoperability
99
Improvement activities
40
Cost
78.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57.024120OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Medical Services LLC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Lawrence M. Stallings, MD, LTD Past Accepting new patients
West View Manor Inc Past Accepting new patients

Locations

2326A Eagle Pass
Wooster, OH 44691
Phone (330) 202-3477

1715 Mechanicsburg Rd
Wooster, OH 44691
Phone (330) 264-8640

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West View Healthy LivingWooster, OH, CCN 366152 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 1, 2022
Jun 10, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1003224577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 E 22ND STREET",
            "address_2": "ST VINCENT'S CHARITY MEDICAL CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44115",
            "telephone_number": "216-363-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND STREET",
            "address_2": "ST VINCENT'S CHARITY MEDICAL CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44115",
            "telephone_number": "216-363-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEGHE",
        "first_name": "EFEWONGBE",
        "middle_name": "BENEDICTA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.024120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.