Active NPI
Egunmwendia I Ogbeide, MD
- Internal Medicine Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 47862
- Practice address
- 3960 New Covington Pike
Memphis, TN 38128-2504 - Phone
- (901) 516-5741
- Fax
- (901) 516-5986
- NPI assigned
- Sep 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125054793 | IL | |
| Hospitalist Physician | 208M00000X | 47862 | TN | |
| Internal Medicine Physician | 207R00000X | 47862 | TN | Primary |
Addresses
Primary practice location
3960 New Covington Pike
Memphis, TN 38128-2504
Mailing address
1211 Union Ave Ste 330
Memphis, TN 38104-6655
Other practice location 1
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1525937 | Medicaid | TN | |
| 01209001 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125054793 | IL | MD | Internal Medicine Physician |
| 47862 | TN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Inpatient Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients |
Locations
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- eogbeide25920@mlh.direct-ci.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1609850692
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1194032706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 UNION AVE STE 330",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 NEW COVINGTON PIKE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381282504",
"telephone_number": "901-516-5741",
"fax_number": "901-516-5986"
}
],
"practiceLocations": [
{
"address_1": "6019 Walnut Grove Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "38120",
"country_code": "US",
"telephone_number": "901-226-3190",
"fax_number": "901-226-3191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGBEIDE",
"first_name": "EGUNMWENDIA",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-02",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125054793",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "47862",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "47862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1525937",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01209001",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.