Individual provider Active NPI

Oyoyo Ogoegbunam Onuoha, M.D.

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1811183171
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42096 Issued in AZ
Practice address
2919 S Ellsworth Rd
Suite 139
Mesa, AZ 85212-2164
Phone
(480) 984-5225
Fax
(480) 984-5447
NPI assigned
Sep 20, 2007
Last updated
Apr 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42096 AZ Primary

Addresses

Primary practice location

2919 S Ellsworth Rd
Suite 139
Mesa, AZ 85212-2164

Mailing address

2919 S Ellsworth Rd
Suite 139
Mesa, AZ 85212-2164
Phone (480) 984-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100726000745 AZ Practitioner - Internal Medicine 0042343147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chikwendu C Nwosu MD LLCGroup PAC ID 5698950178, 11 clinicians

Practice addresses (Care Compare)

2919 S Ellsworth Rd
Suite 139
Mesa, AZ 85212-2168
Phone (480) 984-5225

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalist Services of Arizona, LLC CurrentSince May 4, 2010 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Current Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1811183171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "address_2": "SUITE 139",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122164",
            "telephone_number": "480-984-5225",
            "fax_number": "480-984-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "address_2": "SUITE 139",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122164",
            "telephone_number": "480-984-5225",
            "fax_number": "480-984-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUOHA",
        "first_name": "OYOYO",
        "middle_name": "OGOEGBUNAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "42096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.