Active NPI
Osmund Ugochukwu Agbo, M.D
- Pulmonary Disease Physician
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 200701973
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100336220 | Medicaid | KY | |
| NCA103A | Other | NC | MEDICARE PTAN, INDIVIDUAL FOR CMC-NORTHEAST |
| 5921995 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, SD, KY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1477 | SD | MD | Social Worker |
| N2359 | TX | MD | Critical Care Medicine (Internal Medicine) Physician |
| 200701973 | NC | MD | Pulmonary Disease Physician |
| 251622 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Associates | Internal Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Anesthesiology | Current | 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 | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Wael Asi MD PA | Internal Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Trinity Oaks Skilled Care LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| T J Samson Community Hospital | Current | Accepting new patients | |
| University Health System, Inc | Internal Medicine | Current | Accepting new patients |
| University Health System Inc | Current | Accepting new patients | |
| University Health System, Inc | Pulmonary Disease | Current | Accepting new patients |
| Arnot Medical Services PLLC | Internal Medicine | Past | 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
- oagbo307425@christushealth.direct-ci.net
- 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- The Woodlands, TX
- NPI 1851342794
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
-
- Family Medicine Physician
- Glasgow, KY
- NPI 1477609865
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
- Home Health Agency
- Humble, TX
- NPI 1225991268
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
-
- Community/Retail Pharmacy
- Cumberland, KY
- NPI 1710870811
-
- Anatomic Pathology & Clinical Pathology Physician
- Hazard, KY
- NPI 1780728881
Anesthesiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.