Individual provider Active NPI

Ugonna Onyeagoro

  • General Practice Physician
  • Toledo, OH
National Provider Identifier
1104218601
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5101022956 Issued in MI
Practice address
2213 Cherry St
Toledo, OH 43608-2603
Phone
(973) 710-6202
NPI assigned
Feb 21, 2015
Last updated
May 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 5101022956 MI Primary

Addresses

Primary practice location

2213 Cherry St
Toledo, OH 43608-2603

Mailing address

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-6596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20231003003400 VA Practitioner - General Surgery 7113371543 Reassigns benefits to 5 organizations
I20240301000199 MD Practitioner - General Surgery 7113371543 Reassigns benefits to 5 organizations
I20240301000325 DC Practitioner - General PracticePractitioner - General Surgery 7113371543 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skilled Biologics IncGroup PAC ID 4880132760, 25 clinicians
Skyline Wound Care, PLLCGroup PAC ID 5294080404, 4 clinicians

Practice addresses (Care Compare)

Washington, DC 20008
Phone (310) 445-5999

Timonium, MD 21093
Phone (310) 445-5999

Richmond, VA 23219
Phone (310) 445-5999

1725 Main St
Clifton Forge, VA 24422-1905
Phone (540) 862-5791

3050 Military Rd NW
Washington, DC 20015-1341
Phone (202) 363-8310

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1027
Removal of skin lesions46
Removal of nail tissue1-10
Removal or shaving of skin growth12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101022956MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Sep 1, 2023 Accepting new patients
Hilltop Health General Practice CurrentSince Feb 1, 2025 Accepting new patients
Med-Ped Health Care LLC CurrentSince Dec 15, 2024 Accepting new patients
Skilled Biologics, Inc. CurrentSince Aug 4, 2024 Accepting new patients
Skyline Wound Care PLLC CurrentSince Jun 1, 2025 Accepting new patients
Express Healthcare, LLC CurrentSince Dec 1, 2024 Accepting new patients
Innovation Wound Care PLLC General Practice CurrentSince Jun 3, 2025 Accepting new patients
Express Healthcare, LLC PastSince Dec 1, 2024 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

1090 Vermont Ave NW
Ste 910
Washington, DC 20005

4901 Connecticut Ave NW
Washington, DC 20008
Phone (202) 965-6564

7742 N Kendall Dr
Miami, FL 33156
Phone (305) 274-2403

7 Saint Paul St
Ste 820
Baltimore, MD 21202
Phone (800) 370-6351

6201 Greenbelt Rd
Ste M15
Berwyn Heights, MD 20740
Phone (301) 441-1112

6201 Greenbelt Rd
Ste M16
Berwyn Heights, MD 20740
Phone (301) 441-4400

12230 Roundwood Rd
Timonium, MD 21093
Phone (410) 252-0880

2200 Wilson Blvd
#10240
Arlington, VA 22201
Phone (973) 710-6202

1725 Main St
Clifton Forge, VA 24422
Phone (540) 862-4178

100 Shockoe Slip
Fl 2
Richmond, VA 23219
Phone (888) 364-2334

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19581/brand/1/csg/1/fhir/r4
  • Direct secure messaging: uonyeagoro430881@direct.hfhs.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1104218601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082603",
            "telephone_number": "419-251-6596",
            "fax_number": "419-251-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082603",
            "telephone_number": "973-710-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEAGORO",
        "first_name": "UGONNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-21",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101022956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.