Ogochukwu Udoka Azuh, MD
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Saint Johns, MI
NPI 1386955151 · NPPES record last updated Jun 8, 2022
Key facts
- NPI
- 1386955151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 4301096066 (MI)
- Practice address
- 1501 Waterford Pkwy Ste B
Saint Johns, MI 48879-9631 - Phone
- (989) 534-2353
- Fax
- (989) 534-2352
- NPI assigned
- Jun 28, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Wayne State University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Memorial Hospital
Practice addresses (Care Compare)
826 W King St
Memorial Medical Associates
Owosso, MI 48867-2120
Phone (989) 723-5211
Hospital & facility affiliations
- Memorial Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.58 of 100
- Quality
- 58.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180720000807 | MI | Practitioner - Physical Medicine and Rehabilitation |
6305135302 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Surgery | Current | Accepting new patients |
| Memorial Hospital | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
| Memorial Hospital | Current |
Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients |
Locations
4600 Garfield Rd
Auburn, MI 48611
Phone (989) 266-3415
9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
819 N Shiawassee St
Ste 210
Owosso, MI 48867
Phone (989) 541-2663
819 N Shiawassee St
Ste 110
Owosso, MI 48867
Phone (989) 723-1390
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
1000 E Sturgis St
Ste 9
Saint Johns, MI 48879
Phone (989) 224-2100
1501 Waterford Pkwy
Ste B
Saint Johns, MI 48879
Phone (989) 534-2353
Interoperability endpoints
- o.azuh@memorialhealthcare.midirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301096066 | MI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301096066 | MI | Yes |
Addresses
Primary practice location
1501 Waterford Pkwy Ste B
Saint Johns, MI 48879-9631
Mailing address
1501 Waterford Pkwy Ste B
Saint Johns, MI 48879-9631
Phone (989) 534-2353
Other practice location 1
819 N Shiawassee St Ste 210
Owosso, MI 48867-1601
Phone (989) 541-2663
Other practice location 2
819 N Shiawassee St Ste 110
Owosso, MI 48867-1601
Phone (989) 723-1390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386955151 | Medicaid | MI |
Other names
- Dr. Ogo Azuh
Other providers in Saint Johns, MI
- Emily Lauren Anderson
- Erin Anderson
- Anthony Marl DO PLLC
- Avery Vision Center PC
- Stevie Nicole Avey
- B.P. Rajesh, MD, PLLC
- Menta Nichole Back
- Balance Mi-Skills, Inc.
- Chelsea N Barnes
- Maureen Louise Barry
All providers in Saint Johns, MI · Physical Medicine & Rehabilitation Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.