Active NPI
Sylvester Izuchukwu Ogbata, M.D.
- Nephrology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 200401554
- Practice address
- 1400 Medford Dr
Charlotte, NC 28205-5624 - Phone
- (704) 940-5588
- Fax
- (704) 940-5589
- NPI assigned
- Mar 22, 2006
- Last updated
- Sep 23, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200401554 | NC | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 200401554 | NC | |
| Nephrology Physician | 207RN0300X | 200401554 | NC | Primary |
Addresses
Primary practice location
1400 Medford Dr
Charlotte, NC 28205-5624
Mailing address
7619 Berryfield CT
Waxhaw, NC 28173-9817
Phone (203) 545-9119
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5900398 | Medicaid | NC | |
| N01554 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SOGBATA101496@DIRECT.NOVANTHEALTH.ORG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-4380
1400 Medford Dr
Charlotte, NC 28205-5624
Phone (704) 940-6644
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Hospitalist Services PC | Internal Medicine | Current | Accepting new patients |
| Moses Cone Physician Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Moses Cone Physician Services, Inc. | Current | Accepting new patients | |
| App of South Carolina Ed PLLC | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
| McLeod Physician Associates II | Internal Medicine | Current | Accepting new patients |
| Carolinas Nephrology and Hypertension Associates, PA | Nephrology | Current | Accepting new patients |
| McLeod Physician Associates II | Current | Accepting new patients |
Locations
1400 Medford Dr
Charlotte, NC 28205
Phone (704) 940-5588
6801 South Blvd
Ste E
Charlotte, NC 28217
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
Interoperability endpoints
- sogbata101496@direct.novanthealth.org
- sogbata260141@direct.musc.edu
Organizations & group practices 9
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.
-
- Nephrology Physician
- Charlotte, NC
- NPI 1851826499
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
-
- Nephrology Physician
- Charlotte, NC
- NPI 1063781094
-
- Emergency Medicine Physician
- Hartsville, SC
- NPI 1457878084
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
Internal Medicine
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
Internal Medicine
-
dba Alamance Surgical Associates
- Surgery Physician
- Burlington, NC
- NPI 1164980546
-
dba McLeod Orthopaedics - Florence
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1346209707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7619 BERRYFIELD CT",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281739817",
"telephone_number": "203-545-9119",
"fax_number": "704-940-5589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MEDFORD DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282055624",
"telephone_number": "704-940-5588",
"fax_number": "704-940-5589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGBATA",
"first_name": "SYLVESTER",
"middle_name": "IZUCHUKWU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200401554",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "NC",
"license": "200401554",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "200401554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900398",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N01554",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SOGBATA101496@DIRECT.NOVANTHEALTH.ORG",
"affiliation": "N",
"address_1": "6801 South Blvd Ste E",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282174459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.