Individual provider Active NPI

Kene Ogbogu, MD

  • Hospitalist Physician
  • St Louis Park, MN
National Provider Identifier
1447424247
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
52022 Issued in MN
Practice address
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone
(713) 269-8228
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52022 MN
Hospitalist Physician 208M00000X 52022 MN Primary

Addresses

Primary practice location

6500 Excelsior Blvd
St Louis Park, MN 55426-4702

Mailing address

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (713) 269-8228

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kogbogu198462@direct.centracare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090908000602 MN Practitioner - Family Practice 8123173572 Reassigns benefits to 11 organizations
I20140403001724 WI Practitioner - Family Practice 8123173572 Reassigns benefits to 4 organizations
I20170407000470 TX Practitioner - Family Practice 8123173572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians

Practice addresses (Care Compare)

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-3123

Hospital & facility affiliations

  • Park Nicollet Methodist Hospital Hospital, Saint Louis Park, MN, CCN 240053
  • Aspirus Stanley Hospital Hospital, Stanley, WI, CCN 521311
  • Spooner Health System Hospital, Spooner, WI, CCN 521332
  • North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52022MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Astera Health CurrentSince Jun 20, 2018 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Jan 5, 2021 Accepting new patients
Unity Family Healthcare CurrentSince May 1, 2017 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Jul 1, 2013 Accepting new patients
Douglas County Hospital Current Accepting new patients
Lake Region Healthcare Corporation CurrentSince Jan 26, 2026 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Jan 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Mar 1, 2017 Accepting new patients
Alomere Health CurrentSince Jan 1, 2025 Accepting new patients
Alomere Health CurrentSince Jan 1, 2025 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Jan 1, 2023 Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Aug 1, 2010 Accepting new patients
Unity Family Healthcare Current Accepting new patients
Lake Region Healthcare Corporation CurrentSince Jul 1, 2013 Accepting new patients
Astera Health Current Accepting new patients
County of Meeker CurrentSince Jun 15, 2011 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Aug 15, 2024 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Jan 26, 2026 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Jan 5, 2021 Accepting new patients
Spooner Health System, Inc. CurrentSince May 1, 2022 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Aug 15, 2024 Accepting new patients
Unity Family Healthcare CurrentSince May 1, 2017 Accepting new patients
CCM Health Current Accepting new patients
County of Meeker CurrentSince Jun 15, 2011 Accepting new patients
West Central Pathology and Laboratory Medicine PA Current Accepting new patients
United Hospital District Inc. PastSince Oct 31, 2021 Accepting new patients
United Hospital District Inc. Family Medicine Past Accepting new patients
Park Nicollet Methodist Hospital Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

7892 Solutions Ctr
Chicago, IL 60677

111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511

712 S Cascade St
Fergus Falls, MN 56537

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877

600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222

6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246

415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510

101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1280 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2111

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

Interoperability endpoints

  • Direct secure messaging: kogbogu198462@direct.centracare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
  • Direct secure messaging: kogbogu499998@direct.emplifyhealth.org

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1447424247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264702",
            "telephone_number": "713-269-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264702",
            "telephone_number": "713-269-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBOGU",
        "first_name": "KENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "52022",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "52022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kogbogu198462@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kogbogu198462@direct.centracare.com",
            "address_1": "101 Caring Way",
            "city": "Redwood Falls",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562832624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.