Individual provider Active NPI

Sylvester Izuchukwu Ogbata, M.D.

  • Nephrology Physician
  • Charlotte, NC
National Provider Identifier
1346209707
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
200401554 Issued in NC
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5900398MedicaidNC
N01554MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SOGBATA101496@DIRECT.NOVANTHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050509000732 NC Practitioner - NephrologyPractitioner - HospitalistPractitioner - Hospice/Palliative CarePractitioner - Internal Medicine 3173563202 Reassigns benefits to 3 organizations
I20170214000066 SC Practitioner - NephrologyPractitioner - Internal Medicine 3173563202 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Hospice/Palliative Care, Hospitalist, Internal Medicine
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

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Moses Cone Physician Services, Inc. Internal Medicine Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Dec 9, 2021 Accepting new patients
App of South Carolina Ed PLLC CurrentSince Nov 1, 2017 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Nov 19, 2016 Accepting new patients
McLeod Physician Associates II Internal Medicine CurrentSince Oct 7, 2021 Accepting new patients
Carolinas Nephrology and Hypertension Associates, PA Nephrology CurrentSince Feb 9, 2017 Accepting new patients
McLeod Physician Associates II CurrentSince Oct 7, 2021 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

  • Direct secure messaging: sogbata101496@direct.novanthealth.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.