NPIMap

Individual provider Active NPI

Kene Terence Ugokwe, M.D.

  • Neurological Surgery Physician
  • Youngstown, OH
National Provider Identifier
1770752891
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35.091867 Issued in OH
Practice address
540 Parmalee Ave
Suite 510
Youngstown, OH 44510-1716
Phone
(330) 743-1928
Fax
(330) 744-2110
NPI assigned
Feb 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 52597 WI
Neurological Surgery Physician 207T00000X 35.091867 OH Primary

Addresses

Primary practice location

540 Parmalee Ave
Suite 510
Youngstown, OH 44510-1716

Mailing address

540 Parmalee Ave
Ste 510
Youngstown, OH 44510-1716
Phone (330) 743-1928

Other identifiers 2

IdentifierTypeStateIssuer
H073551OtherOHMEDICARE PTAN
3049089MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100715000721 OH Practitioner - Neurosurgery 2567513849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Howard University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1053 Belmont Ave
Youngstown, OH 44504-1007
Phone (330) 480-2516

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion177
Laminectomy or laminotomy (partial removal of spine bones)88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52597WIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Dec 16, 2012 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown, LLC Current Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1950 Niles Cortland Rd NE
Ste 1
Warren, OH 44484
Phone (330) 306-0395

250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010

1053 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-3605

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

540 Parmalee Ave
Ste 510
Youngstown, OH 44510
Phone (330) 743-1928

8423 Market St
Youngstown, OH 44512
Phone (330) 793-7966

Interoperability endpoints

  • Direct secure messaging: kugokwe16721@direct.bsmhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1770752891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE",
            "address_2": "STE 510",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101716",
            "telephone_number": "330-743-1928",
            "fax_number": "330-744-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE",
            "address_2": "SUITE 510",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101716",
            "telephone_number": "330-743-1928",
            "fax_number": "330-744-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGOKWE",
        "first_name": "KENE",
        "middle_name": "TERENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-22",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WI",
            "license": "52597",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35.091867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H073551",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3049089",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.