Individual provider Active NPI

Emmanuel Obinna Ogbodo, MD

  • Internal Medicine Physician
  • Richmond, TX
National Provider Identifier
1336410190
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2017004930 Issued in MO
Practice address
5706 Saragosa Dr
Richmond, TX 77469-6166
Phone
(917) 972-7787
NPI assigned
Jan 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 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 P8168 TX
Internal Medicine Physician 207R00000X 2017004930 MO Primary

Addresses

Primary practice location

5706 Saragosa Dr
Richmond, TX 77469-6166

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY, TN, VA4 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
I20140217001067 TX Practitioner - Internal Medicine 6709036650 Reassigns benefits to 8 organizations
I20230512001301 KY Practitioner - Internal Medicine 6709036650 Reassigns benefits to 1 organization
I20231204002858 TN Practitioner - Internal Medicine 6709036650 Reassigns benefits to 1 organization
I20240227002283 VA Practitioner - Internal Medicine 6709036650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100

651 Dunlop LN
Clarksville, TN 37040-5015
Phone (931) 502-1370

Hospital & facility affiliations

  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • TJ Health Columbia Hospital, Columbia, KY, CCN 180149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017004930MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Nov 3, 2014 Accepting new patients
Hospital Medicine Associates of TX PA Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Regional Employee Assistance Program Inc Internal Medicine Current Accepting new patients
MCH Professional Care Hospital Based CurrentSince Dec 19, 2016 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Mar 15, 2019 Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 15, 2019 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Nov 3, 2014 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Oct 16, 2023 Accepting new patients
Lufkin Physician Services PA CurrentSince Sep 1, 2014 Accepting new patients
Lander Valley Physician Practices, LLC Internal Medicine Past Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine Past Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients
T J Samson Community Hospital Past Accepting new patients

Locations (25 of 28)

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

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

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

200 Corporate Blvd
Lafayette, LA 70508

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: eogbodo@yourcarecommunity.org

Organizations & group practices 17

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 17

Hospital & facility affiliations 5

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": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1336410190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 SARAGOSA DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774696166",
            "telephone_number": "917-972-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBODO",
        "first_name": "EMMANUEL",
        "middle_name": "OBINNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P8168",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2017004930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.