NPIMap

Individual provider Active NPI

Godson Ifeanyi Oguchi, M.D.

  • Infectious Disease Physician
  • Orange City, FL
National Provider Identifier
1245200906
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME89341 Issued in FL
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
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME89341 FL
Infectious Disease Physician 207RI0200X ME89341 FL Primary

Addresses

Primary 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

IdentifierTypeStateIssuer
P00145723OtherFLRR MEDICARE
264127OtherFLHEALTHEASE
17918OtherFLFL MEMORIAL HEALTH NETWOR
269494800MedicaidFL
46111OtherFLBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621000838 FL Practitioner - Internal MedicinePractitioner - Infectious Disease 9436134822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue448

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Foot and Ankle Surgery Current Accepting new patients
Midland Florida Infectious Diseases Specialists PL Infectious Disease CurrentSince Aug 1, 2008 Accepting new patients
Santa Rosa de Lima Medical PA Past Accepting new patients

Locations

230 E New York Ave
Deland, FL 32724
Phone (386) 734-2214

665 Peachwood Dr
Ste 1
Deland, FL 32720
Phone (386) 228-0661

742 W Plymouth Ave
Deland, FL 32720
Phone (386) 736-8622

955 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 228-0661

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "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": "RR MEDICARE",
            "identifier": "P00145723",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "264127",
            "state": "FL"
        },
        {
            "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": "BC/BS",
            "identifier": "46111",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.