Individual provider Active NPI

King Ogbogu

  • Physical Medicine & Rehabilitation Physician
  • Cleveland, OH
National Provider Identifier
1770841892
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35.128950 Issued in OH
Practice address
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone
(216) 778-7800
NPI assigned
Apr 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 35.128950 OH Primary

Addresses

Primary practice location

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Mailing address

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kogbogu50395@direct.metrohealth.org

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
I20160809002215 OH Practitioner - Physical Medicine and Rehabilitation 3072755198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

140 Old County Line Rd
Westerville, OH 43081-1002
Phone (844) 559-1600

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.128950OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince May 15, 2023 Accepting new patients
The Metrohealth System CurrentSince Jul 1, 2016 Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System Physical Medicine & Rehabilitation CurrentSince Jul 1, 2016 Accepting new patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince May 15, 2023 Accepting new patients

Locations

101 S Bissell Rd
Aurora, OH 44202
Phone (330) 562-5000

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

10 Severance Cir
Cleveland Heights, OH 44118
Phone (216) 297-2600

10955 Capital Pkwy
Concord Township, OH 44077
Phone (330) 920-6472

330 Broadway St E
Cuyahoga Fls, OH 44221
Phone (330) 436-0910

8200 Mentor Hills Dr
Mentor, OH 44060
Phone (440) 256-1496

7040 Hepburn Rd
Middleburg Heights, OH 44130
Phone (216) 410-8664

10267 Northfield Rd
Northfield, OH 44067
Phone (330) 468-1800

7260 Ridge Rd
Parma, OH 44129
Phone (216) 267-5139

7377 Ridge Rd
Parma, OH 44129
Phone (440) 845-0200

5520 Broadview Rd
Parma, OH 44134
Phone (216) 749-4010

12301 Snow Rd
Parma Heights, OH 44130
Phone (216) 285-8810

18545 Shurmer Rd
Strongsville, OH 44136
Phone (440) 268-1048

18627 Shurmer Rd
Strongsville, OH 44136
Phone (440) 238-3361

8551 Darrow Rd
Twinsburg, OH 44087
Phone (330) 486-9402

1060 Eastwind Dr
Westerville, OH 43081
Phone (614) 895-1038

140 Old County Line Rd
Westerville, OH 43081
Phone (614) 882-1511

1919 Bishop Rd
Wickliffe, OH 44092
Phone (440) 944-9400

37603 Euclid Ave
Willoughby, OH 44094
Phone (440) 951-5551

Organizations & group practices 5

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 2

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1770841892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBOGU",
        "first_name": "KING",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2021-12-27",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35.128950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kogbogu50395@direct.metrohealth.org",
            "affiliation": "N",
            "address_1": "2500 Metrohealth Dr",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441091900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.