Obi J Imegwu, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

25MA06938100 Issued in NJ

Practice address

30 Rehill Avenue
Suite 3400
Somerville, NJ 08876-2500

Phone

(908) 725-2400

Fax

(908) 927-8990

NPI assigned

May 15, 2006

Last updated

Nov 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

General PracticeAlso: Vascular Surgery

Education

Jefferson Medical College of Thomas Jefferson University, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Somerset Surgical Associates LLCGroup PAC ID 7315196185, 7 clinicians

Somerset Surgical Specialists LLCGroup PAC ID 1759868284, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048
• Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Merit-based Incentive Payment System (MIPS)

Final score

90.07 of 100Reported as group

Quality

100

Promoting interoperability

88

Improvement activities

40

Cost

60.71

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DAJCCA/Endpoint/DAJCCA
• Direct secure messaging: obi.imegwu@ssallc.eclinicaldirectplus.com
• Direct secure messaging: oimegwu53739@epicdirect.rwjbh.org

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.

• Somerset Surgical Associates,LLC

  • Vascular Surgery Physician
  • Somerville, NJ
  • NPI 1538414719
  Medicare reassignment Care Compare group NPD
• Somerset Surgical Specialists LLC

  dba Somerset Surgical Specialists

  • Surgery Physician
  • Somerville, NJ
  • NPI 1912888256

  Vascular Surgery

  Medicare reassignment Care Compare group NPD
• Somerset Surgical Associates,LLC

  • Surgery Physician
  • Raritan, NJ
  • NPI 1881157550
  Authorized official Same address or phone
• Somerset Surgical Associates,LLC

  • Vascular Surgery Physician
  • New Brunswick, NJ
  • NPI 1922673128
  Authorized official Same address or phone
• Somerset Surgical Associates,LLC

  • Vascular Surgery Physician
  • Hillsborough, NJ
  • NPI 1760183446
  NPD

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

• Ahs Hospital Corp.

  dba Morristown Medical Center

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776
  Care Compare affiliation
• Robert Wood Johnson University Hospital Inc

  dba Robert Wood Johnson University Hospital Somerset

  • General Acute Care Hospital
  • Somerville, NJ
  • NPI 1003236878
  Care Compare affiliation
• Robert Wood Johnson University Hospital, Inc

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1346243375
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1043261001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 REHILL AVENUE",
            "address_2": "SUITE 3400",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762500",
            "telephone_number": "908-725-2400",
            "fax_number": "908-927-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 REHILL AVENUE",
            "address_2": "SUITE 3400",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762500",
            "telephone_number": "908-725-2400",
            "fax_number": "908-927-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMEGWU",
        "first_name": "OBI",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "MAO6965500",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA06938100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hudson Hill Group
• Hudson Hill Group
• Margaret Huettenmoser, LCSW, LCSW
• Benjamin Hunter, M.D.
• I'D First Assist, LLC
• Inner Light Counseling
• Inner Light Counseling and Holistic Center
• Integrated Physiatry Services
• Intergrative OBGYN LLC
• Intrapersonal Wellness

• Vascular Surgery Physician in Somerville, NJ
• Providers in Somerville, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.