Donatus Ogu, M.D.
Individual provider Active NPI Internal Medicine Physician · Dallas, NC
NPI 1023070547 · NPPES record last updated Aug 22, 2008
Key facts
- NPI
- 1023070547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 9300555 (NC)
- Practice address
- 107 N Summey St
Dallas, NC 28034-1824 - Phone
- (704) 923-0446
- Fax
- (704) 923-8319
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
- National Medical Clinic of Lincolnton PA
Practice addresses (Care Compare)
105 Dave Warlick Dr
Lincolnton, NC 28092-4411
Phone (704) 748-9949
5501 Executive Ctr Dr
Suite 241
Charlotte, NC 28212-8823
Phone (980) 339-3133
Hospital & facility affiliations
- Atrium Health Lincoln
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050118000964 | NC | Practitioner - Family Practice |
0446238240 | Reassigns benefits to 1 organization |
| I20251118000006 | NC | Practitioner - Internal Medicine | 0446238240 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9701215 | NC | MD | Anesthesiology Physician |
| 9300555 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrolina Medical Clinic, PLLC | Internal Medicine | Current |
Accepting new patients |
| First Care Medical Clinic | Internal Medicine | Current |
Accepting new patients |
| First Care Medical Clinic, PA | Internal Medicine | Current |
Accepting new patients |
| Superior Health Medical, PLLC | Past | Accepting new patients | |
| First Foundation Clinic of the Carolinas, Inc. | Internal Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| Vance Emergency Physicians | Past | Accepting new patients | |
| Hamlet Hma Inc | Past | Accepting new patients | |
| Anson Regional Medical Services, Inc. | Internal Medicine | Past | Accepting new patients |
| First Foundation Clinic of the Carolinas Charlotte, PC | Internal Medicine | Past |
Accepting new patients |
| First Foundation Clinic of the Carolinas, Inc. | Internal Medicine | Past |
Accepting new patients |
Locations
2938 The Plaza
Charlotte, NC 28205
Phone (704) 375-0404
5501 Executive Center Dr
Ste 241
Charlotte, NC 28212
Phone (704) 891-1994
404 S Sutherland Ave
Monroe, NC 28112
Interoperability endpoints
- https://api.platform.athenahealth.com/26518/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9300555 | NC | Yes |
Addresses
Primary practice location
107 N Summey St
Dallas, NC 28034-1824
Mailing address
PO Box 578
Dallas, NC 28034-0578
Phone (704) 923-0446
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76743 | Other | MEDCOST | |
| 110159213 | Other | RAILROAD MEDICARE | |
| 8910826 | Medicaid | NC | |
| 116085 | Other | AETNA | |
| 21564 | Other | PARTNERS/PARTNERS MEDICAR | |
| 441733 | Other | UNITED HEALTH CARE | |
| 1184723 | Other | CIGNA | |
| 253704 | Other | MAMSI | |
| 10826 | Other | BCBS | |
| N0055C | Other | SOUTH CAROLINA MEDICAID |
Other providers in Dallas, NC
- New Hope NC I, Inc.
- Next Level Foundation
- Nyayp Therapeutic Services
- Nyayp, LLC
- Odin Healthcare PLLC
- Karen D Packer
- Cynthia Pate-Stuppnig
- Nishma Patel
- Vimal Patel
- Eric Jamarrus Paul
All providers in Dallas, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.