NPIMap

Individual provider Active NPI

Princewill O Ogbuji, M.D.

  • Cardiovascular Disease Physician
  • Valatie, NY
National Provider Identifier
1750341897
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
200573-1 Issued in NY
Practice address
1301 River St
Suite 201
Valatie, NY 12184-9694
Phone
(518) 758-2055
Fax
(518) 758-2057
NPI assigned
Mar 24, 2006
Last updated
Jul 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 200573-1 NY Primary

Addresses

Primary practice location

1301 River St
Suite 201
Valatie, NY 12184-9694

Mailing address

1301 River St
Suite 201
Valatie, NY 12184-9694
Phone (518) 758-2055

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
I20040601000530 NY Practitioner - Cardiovascular Disease (Cardiology) 0749261113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

Practice addresses (Care Compare)

2827 US Route 9
Valatie, NY 12184-0785
Phone (518) 828-8051

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.35 of 100Reported as individual
Quality
64.11
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200573-1NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital CurrentSince Dec 1, 2010 Accepting new patients
Columbia Memorial Hospital CurrentSince Dec 1, 2010 Accepting new patients
Twin County Medical Associates, PC Cardiovascular Disease Past Accepting new patients
Albany Medical College Cardiovascular Disease Past Accepting new patients
Columbia Memorial Hospital Past Accepting new patients
Upstate Cardiology, PLLC Cardiovascular Disease PastSince Mar 15, 2004 Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

159 Jefferson Hts
Catskill, NY 12414
Phone (518) 943-0212

71 Prospect Ave
Hudson, NY 12534
Phone (518) 697-3200

71 Prospect Ave
Ste 210
Hudson, NY 12534
Phone (518) 828-2565

1301 River St
Valatie, NY 12184
Phone (518) 758-6575

1301 River St
Ste 201
Valatie, NY 12184
Phone (518) 758-2055

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Interoperability endpoints

  • Direct secure messaging: pogbuji100960@albanymed.direct-ci.com

Organizations & group practices 6

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 6

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1750341897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 RIVER ST",
            "address_2": "SUITE 201",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121849694",
            "telephone_number": "518-758-2055",
            "fax_number": "518-758-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIVER ST",
            "address_2": "SUITE 201",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121849694",
            "telephone_number": "518-758-2055",
            "fax_number": "518-758-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBUJI",
        "first_name": "PRINCEWILL",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "200573-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valatie, NY

Sources for this page

Verify at the official NPI Registry.