Individual provider Active NPI

Jeffrey Ogbara, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1528112513
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT188577 Issued in PA
Practice address
3400 Spruce St
1 Maloney Building
Philadelphia, PA 19104-4206
Phone
(215) 662-2200
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT188577 PA Primary

Addresses

Primary practice location

3400 Spruce St
1 Maloney Building
Philadelphia, PA 19104-4206

Mailing address

3400 Spruce St
1 Maloney Building
Philadelphia, PA 19104-4206
Phone (215) 662-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20141014000757 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8628299716 Reassigns benefits to 1 organization
I20210303000462 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8628299716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Associates of the Delaware Valley,P aGroup PAC ID 9032001284, 94 clinicians

Practice addresses (Care Compare)

111 S 11TH St
2210 Jefferson Center City
Philadelphia, PA 19107-4824
Phone (856) 546-3003

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 546-3003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as group
Quality
78.48
Promoting interoperability
100
Improvement activities
40
Cost
78.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT188577PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Romtherapy Connecticut Medical PC CurrentSince Dec 20, 2024 Accepting new patients
Romtherapy Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeffrey.ogbara.p1@direct.hearthousenj.nextgenshare.com

Organizations & group practices 3

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1528112513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "1 MALONEY BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "1 MALONEY BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBARA",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT188577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.