Individual provider Active NPI

Oluwatobi Ogbechie-Godec, M.D.

  • Dermatology Physician
  • Stoneham, MA
National Provider Identifier
1245613751
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
280922 Issued in MA
Practice address
92 Montvale Ave Ste 3000
Stoneham, MA 02180
Phone
(781) 438-6350
Fax
(781) 481-0289
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 280922 MA Primary

Addresses

Primary practice location

92 Montvale Ave Ste 3000
Stoneham, MA 02180

Mailing address

92 Montvale Ave Ste 3000
Stoneham, MA 02180-3658
Phone (781) 438-6350

Other names 1

  • Oluwatobi Avele Ogbechie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20190909001278 MA Practitioner - Dermatology 8224320908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mystic Valley Dermatology Associates PCGroup PAC ID 8022083344, 11 clinicians

Practice addresses (Care Compare)

92 Montvale Ave
Suite 3000
Stoneham, MA 02180-3658
Phone (781) 438-6350

Hospital & facility affiliations

  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Removal of skin lesions736
Removal or shaving of skin growth14
Skin biopsy179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280922MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mystic Valley Dermatology Associates, P.C. Dermatology CurrentSince Aug 1, 2019 Accepting new patients
Emerson Hospital Current Accepting new patients
Mystic Valley Mass, PC Dermatology Past Accepting new patients
Apderm Mid Shore PC Dermatology Past Accepting new patients

Locations

92 Montvale Ave
Ste 3000
Stoneham, MA 02180
Phone (781) 438-6350

Interoperability endpoints

  • Direct secure messaging: ogbechie-godec.oluwatobi.epho@direct.partners.masshiway.net
  • Direct secure messaging: oogbechiegodec@directaddress.net
  • FHIR API: https://api.platform.athenahealth.com/14167/brand/11/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1245613751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE STE 3000",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803658",
            "telephone_number": "781-438-6350",
            "fax_number": "781-481-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE STE 3000",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "02180",
            "telephone_number": "781-438-6350",
            "fax_number": "781-481-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBECHIE-GODEC",
        "first_name": "OLUWATOBI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "280922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUWATOBI",
            "last_name": "OGBECHIE",
            "middle_name": "AVELE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.