NPIMap

Individual provider Active NPI

Ifechukwude Onyeoba Ojugbeli, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Chittenango, NY
National Provider Identifier
1710059530
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
209777 Issued in NY
Practice address
304 Genesee Street
Chittenango, NY 13037-1707
Phone
(315) 687-6467
Fax
(315) 251-2240
NPI assigned
Nov 15, 2006
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 209777 1 NY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 209777 NY Primary

Addresses

Primary practice location

304 Genesee Street
Chittenango, NY 13037-1707

Mailing address

304 Genesee Street
Chittenango, NY 13037-1707
Phone (315) 687-6467

Other identifiers 1

IdentifierTypeStateIssuer
01729982MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091111000166 NY Practitioner - Internal Medicine 7719025840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Community Memorial HospitalGroup PAC ID 6103805163, shared by 5 NPIs, 43 clinicians
Kudos Medical PLLCGroup PAC ID 4183962616, 5 clinicians

Practice addresses (Care Compare)

150 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-1100

164 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-4600

304 Genesee St
Chittenango, NY 13037-1707
Phone (315) 687-6467

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.81 of 100Reported as group
Quality
88.15
Improvement activities
40
Cost
77.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209777 1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kudos Medical PLLC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Chittenango Medical & Wellness Assoc PC Past Accepting new patients

Locations

304 Genesee St
Chittenango, NY 13037
Phone (315) 687-6467

3709 Erie Blvd E
Syracuse, NY 13214
Phone (315) 251-2244

Interoperability endpoints

  • Direct secure messaging: iojugbeli@americanmedwell.medentdirect.com
  • Direct secure messaging: iojugbeli@hiemail.healtheconnections.org

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1710059530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 GENESEE STREET",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130371707",
            "telephone_number": "315-687-6467",
            "fax_number": "315-251-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 GENESEE STREET",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130371707",
            "telephone_number": "315-687-6467",
            "fax_number": "315-251-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJUGBELI",
        "first_name": "IFECHUKWUDE",
        "middle_name": "ONYEOBA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209777 1",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "209777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01729982",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chittenango, NY

Sources for this page

Verify at the official NPI Registry.