Eleanya Ogburu-Ogbonnaya, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

18323 Issued in SC

Practice address

2601 Millwood Ave
Columbia, SC 29205-1218

Phone

(803) 788-0038

Fax

(803) 788-0655

NPI assigned

Oct 29, 2007

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 SC

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

NeurologyAlso: Addiction Medicine, Interventional Pain Management, Pain Management

Education

Howard University College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Midlands Neurology and Pain Assoc, P.aGroup PAC ID 2264491034, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DDBEDD/Endpoint/DDBEDD

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.

• Midlands Neurology & Pain Assoc, P.a

  • Interventional Pain Medicine Physician
  • Columbia, SC
  • NPI 1629084132

  Neurology

  Medicare reassignment Care Compare group NPD
• Midlands Neurology & Pain Assoc, P.a

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Columbia, SC
  • NPI 1699280644
  NPD Authorized official

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1104005941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "STATE PARK",
            "state": "SC",
            "postal_code": "291470209",
            "telephone_number": "803-788-0038",
            "fax_number": "803-788-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 MILLWOOD AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051218",
            "telephone_number": "803-788-0038",
            "fax_number": "803-788-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBURU-OGBONNAYA",
        "first_name": "ELEANYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "18323",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "18323",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T23356",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qiauna Deniece Odukogbe, PHARMD
• Brianna Rhea Odum, APRN
• Office of the Governor Continuum of Care
• Office of the Governor Continuum of Care
• Stephen Ogarekpe, DMD
• Rebecca Ogilvie, LPC
• Marian Oglesby, LPC
• Willie Harold Oglesby III, MSPH, PHD
• Shaneika Keyatta Ogujiuba, CCC-SLP
• Ayodele A Ogunfowora, M.D.

• Neurology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Neurology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.