Individual provider Active NPI

Chioma Ebele Ogbuefi, MD

  • Specialist
  • Baton Rouge, LA
National Provider Identifier
1700821881
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15600R Issued in LA
Practice address
4560 North Blvd
Suite 108
Baton Rouge, LA 70806-4043
Phone
(225) 201-0751
Fax
(225) 706-0173
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15600R LA Primary

Addresses

Primary practice location

4560 North Blvd
Suite 108
Baton Rouge, LA 70806-4043

Mailing address

4560 North Blvd
Suite 108
Baton Rouge, LA 70806-4043
Phone (225) 201-0751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20060811000325 LA Practitioner - Internal Medicine 9537162532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelth, IncorporatedGroup PAC ID 9830364629, 17 clinicians

Practice addresses (Care Compare)

9900 Lake Forest Blvd
F
New Orleans, LA 70127-2609
Phone (504) 939-9984

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excelth, Incorporated Internal Medicine CurrentSince Apr 5, 2020 Accepting new patients
Excelth, Incorporated Internal Medicine CurrentSince Apr 5, 2020 Accepting new patients
Excelth, Incorporated Specialist Past Accepting new patients

Locations

4560 North Blvd
Ste 104
Baton Rouge, LA 70806
Phone (225) 201-9862

4422 General Meyer Ave
New Orleans, LA 70131
Phone (504) 361-6092

9900 Lake Forest Blvd
Ste F
New Orleans, LA 70127
Phone (504) 240-2273

9900 Lake Forest Blvd
New Orleans, LA 70127
Phone (504) 779-5942

1515 Poydras St
Ste 1070
New Orleans, LA 70112
Phone (504) 240-2273

9900 Lake Forest Blvd
#F
New Orleans, LA 70127
Phone (504) 939-9984

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 4

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1700821881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 NORTH BLVD",
            "address_2": "SUITE 108",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064043",
            "telephone_number": "225-201-0751",
            "fax_number": "225-706-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 NORTH BLVD",
            "address_2": "SUITE 108",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064043",
            "telephone_number": "225-201-0751",
            "fax_number": "225-706-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBUEFI",
        "first_name": "CHIOMA",
        "middle_name": "EBELE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "15600R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.