Individual provider Active NPI

Emmanuel Emeka Ofungwu, M.D.

  • Internal Medicine Physician
  • Boardman, OH
National Provider Identifier
1669812921
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.126789 Issued in OH
Practice address
8401 Market St
Boardman, OH 44512-6725
Phone
(330) 729-4298
Fax
(330) 729-1897
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 015220584164 IL
Hospitalist Physician 208M00000X 35.126789 OH
Internal Medicine Physician 207R00000X 35.126789 OH Primary

Addresses

Primary practice location

8401 Market St
Boardman, OH 44512-6725

Mailing address

8401 Market St
Boardman, OH 44512-6725
Phone (330) 729-4298

Other identifiers 1

IdentifierTypeStateIssuer
0175323MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV, PA3 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
I20150828001924 OH Practitioner - HospitalistPractitioner - Internal Medicine 8123334646 Reassigns benefits to 11 organizations
I20250221001126 WV Practitioner - Hospitalist 8123334646 Reassigns benefits to 12 organizations
I20250411000089 PA Practitioner - Hospitalist 8123334646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mvhe IncGroup PAC ID 9537066584, 399 clinicians
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians
Sinclair Physician Services, LLCGroup PAC ID 9830536911, 128 clinicians
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Hisey Physician Services, LLCGroup PAC ID 8426495292, 43 clinicians
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians
Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 705-4754

1 Medical Park
Wheeling, WV 26003-6379

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

3130 N Country Rd
25A
Troy, OH 45373-1337
Phone (937) 440-4000

500 W Berkeley St
Uniontown, PA 15401-5514
Phone (724) 430-6899

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3310

Hospital & facility affiliations

  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Uniontown Hospital Hospital, Uniontown, PA, CCN 390041
  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015220584164ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Brobbey MD Inc CurrentSince Jun 1, 2016 Accepting new patients
Ohiohealth Corporation CurrentSince Mar 1, 2022 Accepting new patients
Fisher-Titus Medical Center Current Accepting new patients
Upper Valley Professional Corporation Internal Medicine CurrentSince Feb 10, 2023 Accepting new patients
North East Ohio Group Practice LLC Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
Grant Memorial Hospital Inc CurrentSince Apr 14, 2025 Accepting new patients
Braxton County Memorial Hospital CurrentSince Feb 6, 2025 Accepting new patients
City Hospital Inc Current Accepting new patients
THS Physician Partners Inc Internal Medicine CurrentSince Feb 6, 2025 Accepting new patients
Braxton County Memorial Hospital CurrentSince Feb 6, 2025 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Mar 1, 2025 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Feb 10, 2023 Accepting new patients
West Virginia Health Care Cooperative Inc Hospitalist CurrentSince Mar 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Feb 6, 2025 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Feb 6, 2025 Accepting new patients
Fayette Physician Network Inc CurrentSince Apr 7, 2025 Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince Jul 5, 2016 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Mar 1, 2025 Accepting new patients
Hisey Physician Services, LLC Internal Medicine CurrentSince Mar 18, 2024 Accepting new patients
Ohiohealth Corporation Internal Medicine Current Accepting new patients
City Hospital, Inc. Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Fisher-Titus Medical Care LLC CurrentSince Jun 17, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Mar 1, 2022 Accepting new patients
Sinclair Physician Services, LLC Internal Medicine CurrentSince Apr 21, 2024 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Feb 10, 2023 Accepting new patients
Fayette Physician Network Inc Internal Medicine CurrentSince Apr 7, 2025 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients
Wheeling Hospital Inc Hospitalist CurrentSince Apr 1, 2025 Accepting new patients
Grant Memorial Hospital Inc Hospitalist CurrentSince Apr 14, 2025 Accepting new patients
Robinson Health System, Inc. Past Accepting new patients
Premier Urgent Care, LLC PastSince Oct 17, 2021 Accepting new patients
Miami Valley Hospital Past Accepting new patients
Wheeling Hospital Inc Past Accepting new patients
Lake Hospital System Inc Past Accepting new patients
Uniontown Hospital Past Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients

Locations (25 of 42)

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2351 E 22nd St
Cleveland, OH 44115
Phone (216) 363-2536

11100 Euclid Ave
Cleveland Heights, OH 44106

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

L3539
Columbus, OH 43260
Phone (304) 414-4800

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

27900 Euclid Ave
Euclid, OH 44132
Phone (216) 331-3318

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

199 W Main St
Shelby, OH 44875
Phone (419) 342-5015

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

Interoperability endpoints

  • Direct secure messaging: eofungwu579091@ehrdirect.uhhospitals.org

Organizations & group practices 38

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 38

Hospital & facility affiliations 10

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1669812921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126725",
            "telephone_number": "330-729-4298",
            "fax_number": "330-729-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126725",
            "telephone_number": "330-729-4298",
            "fax_number": "330-729-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFUNGWU",
        "first_name": "EMMANUEL",
        "middle_name": "EMEKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "015220584164",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.126789",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.126789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175323",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.