Individual provider Active NPI

Ogochukwu Udoka Azuh, MD

  • Physical Medicine & Rehabilitation Physician
  • Saint Johns, MI
National Provider Identifier
1386955151
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301096066 Issued in 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
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301096066 MI
Physical Medicine & Rehabilitation Physician 208100000X 4301096066 MI Primary

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 names 1

  • Dr. Ogo Azuh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20180720000807 MI Practitioner - Physical Medicine and RehabilitationPractitioner - General Surgery 6305135302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: General Surgery
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 HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

826 W King St
Memorial Medical Associates
Owosso, MI 48867-2120
Phone (989) 723-5211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301096066MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Surgery Current Accepting new patients
Memorial Hospital Physical Medicine & Rehabilitation CurrentSince Jul 15, 2019 Accepting new patients
Memorial Hospital CurrentSince Jul 15, 2019 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

819 N Shiawassee St
Ste 110
Owosso, MI 48867
Phone (989) 723-1390

819 N Shiawassee St
Ste 210
Owosso, MI 48867
Phone (989) 541-2663

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

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

  • Direct secure messaging: o.azuh@memorialhealthcare.midirect.net

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, 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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1386955151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WATERFORD PKWY STE B",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799631",
            "telephone_number": "989-534-2353",
            "fax_number": "989-534-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WATERFORD PKWY STE B",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799631",
            "telephone_number": "989-534-2353",
            "fax_number": "989-534-2352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 N Shiawassee St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "488671601",
            "country_code": "US",
            "telephone_number": "989-541-2663",
            "fax_number": "989-723-3601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "819 N Shiawassee St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "488671601",
            "country_code": "US",
            "telephone_number": "989-723-1390",
            "fax_number": "989-725-1415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZUH",
        "first_name": "OGOCHUKWU",
        "middle_name": "UDOKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2022-06-08",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301096066",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301096066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OGO",
            "last_name": "AZUH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Johns, MI

Sources for this page

Verify at the official NPI Registry.