Allen Chukwuemekenim Omo-Ogboi, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

58956 Issued in KY

Practice address

290 Big Run Rd
Lexington, KY 40503-2903

Phone

(859) 278-9513

Fax

(859) 277-6063

NPI assigned

Sep 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Specialty

Pathology

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chipps, Caffrey and Dubilier, P.S.CGroup PAC ID 4688573900, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pikeville Medical Center Hospital, Pikeville, KY, CCN 180044
• Tug Valley Arh Regional Medical Center Hospital, South Williamson, KY, CCN 180069

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Chipps, Caffrey & Dubilier, P.S.C

  • Anatomic Pathology & Clinical Pathology Physician
  • Lexington, KY
  • NPI 1336148683

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ut Physicians

  • Health Educator
  • Houston, TX
  • NPI 1316534472
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Appalachian Regional Healthcare, Inc.

  • General Acute Care Hospital
  • South Williamson, KY
  • NPI 1649270257
  Care Compare affiliation
• Pikeville Medical Center Inc

  • General Acute Care Hospital
  • Pikeville, KY
  • NPI 1285621623
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1366056400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BIG RUN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032903",
            "telephone_number": "859-278-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BIG RUN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032903",
            "telephone_number": "859-278-9513",
            "fax_number": "859-277-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMO-OGBOI",
        "first_name": "ALLEN",
        "middle_name": "CHUKWUEMEKENIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-05",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10070743",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "58956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "allen.omoogboi@uth.tmc.edu",
            "affiliation": "N",
            "endpointDescription": "work e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "6431 Fannin St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770301501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Marie Olszewski, D.O.
• Galal M Omami, BDS, MSC
• Hatim A Omar, MD
• Andrea Omidy, PHD
• Omnicare Home Health, LLC
• Melissa Omohundro, RD, LD
• Samuel Omotoye, MD
• On the Move Pedatric Therapy PLLC
• On the Move Pediatric Therapy
• On-Site RX Inc

• Anatomic Pathology & Clinical Pathology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Anatomic Pathology & Clinical Pathology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.

Verify at the official NPI Registry.