Active NPI
Osaze Edo-Ohonba, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 2018019491
- Practice address
- 1600 East Broadway
Columbia, MO 65201-5844 - Phone
- (573) 815-8000
- NPI assigned
- Jun 25, 2008
- Last updated
- Feb 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT 185563 | PA | |
| Internal Medicine Physician | 207R00000X | 2018019491 | MO | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2018019491 | MO | Primary |
| Pulmonary Disease Physician | 207RP1001X | 2018019491 | MO | |
| Hospitalist Physician | 208M00000X | 01065638A | IN |
Addresses
Primary practice location
1600 East Broadway
Columbia, MO 65201-5844
Mailing address
1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200908800 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2040 W 32ND St
Joplin, MO 64804-3512
Phone (417) 627-1300
3255 Independence St
Cape Girardeau, MO 63701-4914
519 Harriet St
Evansville, IN 47710-1715
Phone (812) 450-7720
604 Old 63
Columbia, MO 65201-4557
Phone (573) 499-6632
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- Quality
- 82.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018019491 | MO | MD | Internal Medicine Physician |
| MT 185563 | PA | MD | Internal Medicine Physician |
| 01065638A | IN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Landmark Hospital of Joplin, LLC | Current | Accepting new patients | |
| Landmark Hospital of Columbia LLC | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Critical Care Medicine | Current | Accepting new patients |
Locations
4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311
519 Harriet St
Evansville, IN 47710
Phone (812) 423-9699
604 Old Highway 63 N
Columbia, MO 65201
Phone (573) 499-6600
3255 Independence St
Cpe Girardeau, MO 63701
Phone (573) 331-8026
2040 W 32nd St
Joplin, MO 64804
Phone (417) 627-1300
Interoperability endpoints
- oedoohonba237554@direct.deaconess.com
- osazeedoohonba@mhccaremail.com
Organizations & group practices 5
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.
-
- Long Term Care Hospital
- Columbia, MO
- NPI 1972732378
-
- Long Term Care Hospital
- Joplin, MO
- NPI 1972633410
-
dba Deaconess Care Group
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
Internal Medicine
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
dba Deaconess Pulmonary Critical Care Group
- Pulmonary Disease Physician
- Evansville, IN
- NPI 1972798312
Critical Care Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Center for Therapy and Sports Performance
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1639331317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E BROADWAY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015844",
"telephone_number": "573-815-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 EAST BROADWAY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015844",
"telephone_number": "573-815-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDO-OHONBA",
"first_name": "OSAZE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-25",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT 185563",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2018019491",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MO",
"license": "2018019491",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "2018019491",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01065638A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200908800",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.