Active NPI
Godson Ifeanyi Oguchi, M.D.
- Infectious Disease Physician
- Orange City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME89341
- Practice address
- 955 Town Center Dr
Suite 100
Orange City, FL 32763-8255 - Phone
- (386) 228-0661
- Fax
- (386) 228-0662
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
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.
-
- Infectious Disease Physician
- Orange City, FL
- NPI 1720247869
FL, Infectious Disease
-
- Foot & Ankle Surgery Podiatrist
- Orange City, FL
- NPI 1033296173
-
- Specialist
- Orange City, FL
- NPI 1679538664
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
Hospital
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- Home Health Agency
- Jacksonville, FL
- NPI 1871529347
-
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
Hospital
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
955 Town Ctr Dr
Suite 100
Orange City, FL 32763-8255
Phone (386) 228-0661
Hospital & facility affiliations
- Trilogy Home Healthcare
- Adventhealth Fish Memorial
- Adventhealth Deland
- Adventhealth Orlando
- Adventhealth Daytona Beach
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 448 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040621000838 | FL | Practitioner - Internal Medicine | 9436134822 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME89341 | FL | MD | Internal Medicine Physician |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midland Florida Infectious Diseases Specialists PL | Infectious Disease | Current | Accepting new patients |
| Institute for Foot and Ankle Surgery | Current | Accepting new patients | |
| Santa Rosa de Lima Medical PA | Past | Accepting new patients |
Locations
665 Peachwood Dr
Ste 1
Deland, FL 32720
Phone (386) 228-0661
742 W Plymouth Ave
Deland, FL 32720
Phone (386) 736-8622
230 E New York Ave
Deland, FL 32724
Phone (386) 734-2214
955 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 228-0661
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME89341 | FL | |
| Infectious Disease Physician | 207RI0200X | ME89341 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
955 Town Center Dr
Suite 100
Orange City, FL 32763-8255
Mailing address
PO Box 471027
Lake Monroe, FL 32747-1027
Phone (386) 228-0661
Other identifiers 5
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17918 | Other | FL | FL MEMORIAL HEALTH NETWOR |
| 269494800 | Medicaid | FL | |
| 264127 | Other | FL | HEALTHEASE |
| 46111 | Other | FL | BC/BS |
| P00145723 | Other | FL | RR MEDICARE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2021.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1245200906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 471027",
"city": "LAKE MONROE",
"state": "FL",
"postal_code": "327471027",
"telephone_number": "386-228-0661",
"fax_number": "386-228-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 TOWN CENTER DR",
"address_2": "SUITE 100",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638255",
"telephone_number": "386-228-0661",
"fax_number": "386-228-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUCHI",
"first_name": "GODSON",
"middle_name": "IFEANYI",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME89341",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME89341",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEMORIAL HEALTH NETWOR",
"identifier": "17918",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269494800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE",
"identifier": "264127",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "46111",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00145723",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.