Individual provider Active NPI

Ugochukwu Nnaemeka Ozumba, MD

  • Hospitalist Physician
  • Dayton, OH
National Provider Identifier
1699033571
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
35.125722 Issued in OH
Practice address
405 W Grand Ave
Dayton, OH 45405
Phone
(937) 723-3276
Fax
(937) 723-3277
NPI assigned
Apr 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35.125722 OH Primary
Internal Medicine Physician 207R00000X 35.125722 OH

Addresses

Primary practice location

405 W Grand Ave
Dayton, OH 45405

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1300

Other practice location 1

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-2378

Other practice location 2

30 E Apple St
Ste NW 3300
Dayton, OH 45409-2939
Phone (937) 208-8394

Other practice location 3

30 E Apple St
Ste NW 3300
Dayton, OH 45409-2939
Phone (937) 208-8394

Other identifiers 1

IdentifierTypeStateIssuer
0137436MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address uozumba566622@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150702002146 OH Practitioner - HospitalistPractitioner - Internal Medicine 5890007843 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.125722OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Internal Medicine CurrentSince Jan 9, 2017 Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince Apr 20, 2017 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Jun 29, 2015 Accepting new patients
Kettering Independent Medical Group Inc Internal Medicine CurrentSince Dec 29, 2022 Accepting new patients
Inpatient Medical Services, Inc. Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
4M Hospitalist Services, LLC Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Jun 29, 2015 Accepting new patients
Upper Valley Professional Corporation Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients
Promedica Central Physicians CurrentSince Jan 9, 2017 Accepting new patients
Kettering Medical Center Past Accepting new patients

Locations

29 N Adams St
Akron, OH 44304
Phone (330) 572-7293

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

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

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

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

1290 Fairchild Ave
Kent, OH 44240
Phone (330) 678-4912

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

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

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

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

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1699033571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1300",
            "fax_number": "937-522-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GRAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45405",
            "telephone_number": "937-723-3276",
            "fax_number": "937-723-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "667 Eastland Ave SE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444844503",
            "country_code": "US",
            "telephone_number": "330-841-2378",
            "fax_number": "330-841-4667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 E Apple St",
            "address_2": "Ste NW 3300",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092939",
            "country_code": "US",
            "telephone_number": "937-208-8394",
            "fax_number": "937-208-8388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 E Apple St",
            "address_2": "Ste NW 3300",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092939",
            "country_code": "US",
            "telephone_number": "937-208-8394",
            "fax_number": "937-208-8388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZUMBA",
        "first_name": "UGOCHUKWU",
        "middle_name": "NNAEMEKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.125722",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.125722",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137436",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uozumba566622@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "405 W Grand Ave",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "405 W Grand Ave",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.