Individual provider Active NPI

Ogechi Agogbuo, MD

  • Internal Medicine Physician
  • New London, NH
National Provider Identifier
1265007595
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33579 Issued in NH
Practice address
273 County Rd
New London, NH 03257-5736
Phone
(603) 526-2911
NPI assigned
May 20, 2021
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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 BP10075212 TX
Internal Medicine Physician 207R00000X 33579 NH Primary

Addresses

Primary practice location

273 County Rd
New London, NH 03257-5736

Mailing address

PO Box 810
Hanover, NH 03755-0810

Other practice location 1

701 E Marshall Ave Ste 400
Longview, TX 75601-5595
Phone (903) 315-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20250612000775 NH Practitioner - Internal Medicine 0749727535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

273 Country Rd
New London, NH 03257-5736
Phone (603) 526-5215

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10075212TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The New London Hospital Association, Inc. CurrentSince Jun 5, 2025 Accepting new patients
The New London Hospital Association, Inc. Internal Medicine CurrentSince Jun 5, 2025 Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients

Locations

273 County Rd
New London, NH 03257
Phone (603) 526-5215

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1265007595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037550810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 COUNTY RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575736",
            "telephone_number": "603-526-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 E Marshall Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015595",
            "country_code": "US",
            "telephone_number": "903-315-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGOGBUO",
        "first_name": "OGECHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10075212",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "33579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, NH

Sources for this page

Verify at the official NPI Registry.