Individual provider Active NPI

Osmund Ugochukwu Agbo, M.D

  • Pulmonary Disease Physician
  • Concord, NC
National Provider Identifier
1275728529
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
200701973 Issued in NC
Practice address
920 Church St N
Concord, NC 28025
Phone
(347) 804-9172
NPI assigned
Sep 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X N2359 TX
Internal Medicine Physician 207R00000X 45748 KY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 200701973 NC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 251622 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X N2359 TX
Pulmonary Disease Physician 207RP1001X 45748 KY
Pulmonary Disease Physician 207RP1001X 200701973 NC Primary
Pulmonary Disease Physician 207RP1001X 251622 NY

Addresses

Primary practice location

920 Church St N
Concord, NC 28025

Mailing address

1073 Sing Sing Rd Apt C1
Horseheads, NY 14845-1392
Phone (469) 417-7569

Other practice location 1

200 Medical Center Dr
Hazard, KY 41701-9466
Phone (606) 487-7510

Other practice location 2

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-5864

Other identifiers 3

IdentifierTypeStateIssuer
7100336220MedicaidKY
NCA103AOtherNCMEDICARE PTAN, INDIVIDUAL FOR CMC-NORTHEAST
5921995MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD, KY, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150602002606 TX Practitioner - Internal Medicine 6800974627 Reassigns benefits to 3 organizations
I20150624000009 SD Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6800974627 Reassigns benefits to 1 organization
I20180920003476 KY Practitioner - Pulmonary Disease 6800974627 Reassigns benefits to 4 organizations
I20230522000914 TN Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6800974627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wael Asi MD PAGroup PAC ID 8820082233, 31 clinicians

Practice addresses (Care Compare)

1111 Medical Plaza Dr
Suite 250
The Woodlands, TX 77380-3477
Phone (281) 296-8788

Hospital & facility affiliations

  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1477SDMDSocial Worker
N2359TXMDCritical Care Medicine (Internal Medicine) Physician
200701973NCMDPulmonary Disease Physician
251622NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Internal Medicine CurrentSince Sep 15, 2021 Accepting new patients
Christus Trinity Clinic Texas Anesthesiology CurrentSince Apr 17, 2023 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Appalachian Regional Healthcare, Inc Anesthesiology Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 17, 2023 Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Aug 28, 2018 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Wael Asi MD PA Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 28, 2018 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Apr 29, 2015 Accepting new patients
Trinity Oaks Skilled Care LLC Current Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Apr 29, 2015 Accepting new patients
T J Samson Community Hospital CurrentSince Feb 14, 2022 Accepting new patients
University Health System, Inc Internal Medicine Current Accepting new patients
University Health System Inc CurrentSince Apr 1, 2023 Accepting new patients
University Health System, Inc Pulmonary Disease CurrentSince Apr 1, 2023 Accepting new patients
Arnot Medical Services PLLC Internal Medicine PastSince Apr 1, 2012 Accepting new patients
Chemung Medical Services PC Internal Medicine Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients

Locations

2407 Ring Rd
Ste 114
Elizabethtown, KY 42701
Phone (270) 706-5787

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

2400 Harrodsburg Rd
Lexington, KY 40503
Phone (859) 278-0319

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1940 Alcoa Hwy
Ste E210
Knoxville, TN 37920
Phone (865) 524-7471

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1125 Cypress Station Dr
Ste E
Houston, TX 77090
Phone (281) 419-5818

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

1111 Medical Plaza Dr
Ste 250
The Woodlands, TX 77380
Phone (281) 419-5818

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: oagbo307425@christushealth.direct-ci.net
  • Direct secure messaging: osmundagbo@arh.medalliesdirect.net

Organizations & group practices 24

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.

View all 24

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": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1275728529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 SING SING RD APT C1",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148451392",
            "telephone_number": "469-417-7569",
            "fax_number": "877-929-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28025",
            "telephone_number": "347-804-9172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417019466",
            "country_code": "US",
            "telephone_number": "606-487-7510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-5864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGBO",
        "first_name": "OSMUND",
        "middle_name": "UGOCHUKWU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N2359",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "45748",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "200701973",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "251622",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "N2359",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "45748",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "200701973",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "251622",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100336220",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, INDIVIDUAL FOR CMC-NORTHEAST",
            "identifier": "NCA103A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921995",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.