NPIMap

Individual provider Active NPI

Odinachi Ngozi Oguh, M.D

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1376744870
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
19024 Issued in NV
Practice address
888 W Bonneville Ave
Las Vegas, NV 89106
Phone
(702) 331-7041
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 19024 NV Primary

Addresses

Primary practice location

888 W Bonneville Ave
Las Vegas, NV 89106

Mailing address

260 Elder View Dr
Las Vegas, NV 89138-5011
Phone (312) 813-3119

Other practice location 1

580 W 8th St
University of Florida , Dept. Of Neurology
Jacksonville, FL 32209-6533
Phone (904) 383-1022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120910000062 GA Practitioner - Neurology 0840446191 Reassigns benefits to 1 organization
I20190802001653 NV Practitioner - Neurology 0840446191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland Clinic NevadaGroup PAC ID 9537219431, 31 clinicians

Practice addresses (Care Compare)

888 W Bonneville Ave
Las Vegas, NV 89106-0100
Phone (702) 483-6000

Hospital & facility affiliations

  • Saguaro Home Health Care Home health agency, Las Vegas, NV, CCN 297082
  • Accessible Healthcare, LLC Home health agency, Las Vegas, NV, CCN 297199
  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057

Merit-based Incentive Payment System (MIPS)

Final score
78.72 of 100Reported as group
Quality
56.4
Promoting interoperability
100
Improvement activities
40
Cost
72.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy60

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Single Specialty CurrentSince Aug 1, 2012 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Aug 1, 2012 Accepting new patients
Cleveland Clinic Nevada Single Specialty CurrentSince Jul 10, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Single Specialty CurrentSince Aug 1, 2012 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

580 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3960

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

201 Lakeshore Pt
Ste B
Saint Marys, GA 31558
Phone (912) 729-6821

888 W Bonneville Ave
Las Vegas, NV 89106
Phone (702) 263-9797

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1376744870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 ELDER VIEW DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891385011",
            "telephone_number": "312-813-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 W BONNEVILLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-331-7041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 W 8th St",
            "address_2": "University of Florida , Dept. Of Neurology",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096533",
            "country_code": "US",
            "telephone_number": "904-383-1022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUH",
        "first_name": "ODINACHI",
        "middle_name": "NGOZI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "19024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.