Individual provider Active NPI

Donatus Ogu, M.D.

  • Internal Medicine Physician
  • Dallas, NC
National Provider Identifier
1023070547
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9300555 Issued in NC
Practice address
107 N Summey St
Dallas, NC 28034-1824
Phone
(704) 923-0446
Fax
(704) 923-8319
NPI assigned
Apr 3, 2006
Last updated
Aug 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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 9300555 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050118000964 NC Practitioner - Family PracticePractitioner - Internal Medicine 0446238240 Reassigns benefits to 1 organization
I20251118000006 NC Practitioner - Internal Medicine 0446238240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
National Medical Clinic of Lincolnton PAGroup PAC ID 8022282615, 2 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9300555NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Medical Clinic, PLLC Internal Medicine CurrentSince Mar 20, 2017 Accepting new patients
First Care Medical Clinic Internal Medicine CurrentSince Aug 27, 2025 Accepting new patients
First Care Medical Clinic, PA Internal Medicine CurrentSince Aug 27, 2025 Accepting new patients
Hamlet Hma Inc Past Accepting new patients
First Foundation Clinic of the Carolinas Charlotte, PC Internal Medicine PastSince Jan 8, 2005 Accepting new patients
Superior Health Medical, PLLC Past Accepting new patients
Anson Regional Medical Services, Inc. Internal Medicine Past Accepting new patients
Vance Emergency Physicians Past Accepting new patients
First Foundation Clinic of the Carolinas, Inc. Internal Medicine Past Accepting new patients
First Foundation Clinic of the Carolinas, Inc. Internal Medicine PastSince Jul 8, 2004 Accepting new patients
Emcare Physician Providers, Inc. 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

  • FHIR API: https://api.platform.athenahealth.com/26518/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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

Hospital & facility affiliations 1

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1023070547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280340578",
            "telephone_number": "704-923-0446",
            "fax_number": "704-923-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N SUMMEY ST",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280341824",
            "telephone_number": "704-923-0446",
            "fax_number": "704-923-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGU",
        "first_name": "DONATUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9300555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, NC

Sources for this page

Verify at the official NPI Registry.