Osareme Anthony Irivbogbe, M.D

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

MD54620 Issued in TN

Practice address

7557B Dannaher Dr Ste 225
Powell, TN 37849-3568

Phone

(865) 647-5800

Fax

(865) 647-5979

NPI assigned

Jul 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

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 2

Specialty

Interventional Cardiology

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knoxville Hma Cardiology PPM, LLCGroup PAC ID 1658542758, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
• Tennova Healthcare-Jefferson Memorial Hospital Hospital, Jefferson City, TN, CCN 440056
• Tennova Healthcare - Newport Medical Center Hospital, Newport, TN, CCN 440153
• Lafollette Medical Center Hospital, La Follette, TN, CCN 440033
• Big South Fork Medical Center Hospital, Oneida, TN, CCN 441323

Merit-based Incentive Payment System (MIPS)

Final score

88.07 of 100Reported as apm

Quality

73.89

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: osareme.irivbogbe.1@10667.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/AGAJCD

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.

• Knoxville Hma Cardiology PPM, LLC

  • Cardiovascular Disease Physician
  • Knoxville, TN
  • NPI 1275811713

  Interventional Cardiology

  Medicare reassignment Care Compare group NPD
• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  Medicare reassignment NPD
• Piedmont Cardiology of Atlanta, LLC

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1275729691

  Interventional Cardiology

  Medicare reassignment NPD
• Summit Medical Group, PLLC

  • Family Medicine Physician
  • Sevierville, TN
  • NPI 1306915327
  NPD
• Desert Oasis Medical Center, PLLC

  • Internal Medicine Physician
  • Bullhead City, AZ
  • NPI 1336224369
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Campbell County Hma, LLC

  • General Acute Care Hospital
  • Lafollette, TN
  • NPI 1639151301
  Care Compare affiliation
• Cocke County Hma, LLC

  • General Acute Care Hospital
  • Newport, TN
  • NPI 1972576247
  Care Compare affiliation
• Jefferson County Hma LLC

  • General Acute Care Hospital
  • Jefferson City, TN
  • NPI 1972585347
  Care Compare affiliation
• Metro Knoxville Hma LLC

  • General Acute Care Hospital
  • Powell, TN
  • NPI 1043292899
  Care Compare affiliation
• Scott County Community Hospital, Inc.

  • Critical Access Hospital
  • Oneida, TN
  • NPI 1932646049
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1891995023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557B DANNAHER DR STE 225",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493568",
            "telephone_number": "865-647-5800",
            "fax_number": "865-647-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557B DANNAHER DR STE 225",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493568",
            "telephone_number": "865-647-5800",
            "fax_number": "865-647-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIVBOGBE",
        "first_name": "OSAREME",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "MD54620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q023966",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "osareme.irivbogbe.1@10667.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "7557B Dannaher Dr Ste 225",
            "city": "Powell",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378493568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Interventional Cardiology Physician in Powell, TN
• Providers in Powell, TN by specialty
• Interventional Cardiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.