Kome S Oseghale, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

272702 Issued in NY

Practice address

305 Main Street
Suite 200
Ogdensburg, NY 13669

Phone

(315) 713-6770

Fax

(877) 902-6131

NPI assigned

Jul 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, NY2 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

Specialty

Pediatric Medicine

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Claxton-Hepburn Medical Center

  • Psychiatric Hospital
  • Ogdensburg, NY
  • NPI 1891753034

  Corporate Director

  CMS ownership

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.

• Norton Childrens Medical Group, LLC

  • Pediatrics Physician
  • Louisville, KY
  • NPI 1326695255

  IN

  Medicare reassignment NPD
• Lewis County General Hospital

  • Surgery Physician
  • Lowville, NY
  • NPI 1659433217
  Medicare reassignment
• Norton Children'S Medical Group, LLC

  • Pediatric Radiology Physician
  • Louisville, KY
  • NPI 1659913812
  NPD
• Claxton-Hepburn Medical Center

  • Psychiatric Hospital Unit
  • Ogdensburg, NY
  • NPI 1346301389
  NPD (past)

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1376855734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MAIN ST STE 200",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691110",
            "telephone_number": "315-713-6770",
            "fax_number": "877-902-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAIN STREET",
            "address_2": "SUITE 200",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "13669",
            "telephone_number": "315-713-6770",
            "fax_number": "877-902-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1373 E State Road 62 # Level2",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472507328",
            "country_code": "US",
            "telephone_number": "812-801-0300",
            "fax_number": "812-801-0585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSEGHALE",
        "first_name": "KOME",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "272702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300118051",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03760652",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ogdensburg Medical Group P.C.
• Ogdensburg Volunteer Rescue Squad, Inc.
• Ohio Valley Pulmonary Services Inc
• Sara Olin, LMSW
• William C Oneill
• Juliana S Oswald
• Tonya Lynn Ott, LPN
• Hannah Elizabeth Oum
• Kritika Padala, MD
• Pak Optical of Watertown Inc

• Pediatrics Physician in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.