Active NPI
Osarenren Ogbeide, MD
- Hematology & Oncology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 768803
- Practice address
- 100 N Humphreys Blvd
Memphis, TN 38120-2146 - Phone
- (901) 683-0055
- Fax
- (901) 322-2947
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E4027 | AR | |
| Hematology & Oncology Physician | 207RH0003X | E-4027 | AR | |
| Hematology & Oncology Physician | 207RH0003X | 23549 | MS | |
| Hematology & Oncology Physician | 207RH0003X | 768803 | TN | Primary |
Addresses
Primary practice location
100 N Humphreys Blvd
Memphis, TN 38120-2146
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Other practice location 1
6029 Walnut Grove Rd Ste 305
Memphis, TN 38120-2155
Phone (901) 226-0533
Other practice location 2
2100 N 7th St
West Memphis, AR 72301-2017
Phone (870) 394-7804
Other practice location 3
363 Southcrest Cir Ste 101
Southaven, MS 38671-4737
Phone (662) 349-0755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155337001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1109 E Reelfoot Ave
Suite Gandh
Union City, TN 38261-5856
Phone (731) 884-1720
1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 476-2621
200 Hwy 30 W
New Albany, MS 38652-3112
Phone (601) 534-7631
36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801
363 Southcrest Cir
Suite 101
Southaven, MS 38671-4737
Phone (662) 349-0755
391 Southcrest Cir
Suite 101
Southaven, MS 38671-4848
Phone (662) 349-0356
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3882
6029 Walnut Grove Rd
Suite 301
Memphis, TN 38120-2112
Phone (901) 747-9087
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000
8040 Wolf River Blvd
Germantown, TN 38138-1773
8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606
P O Box
Suite 405827
Atlanta, GA 30384-5827
Hospital & facility affiliations
- Baptist Memorial Hospital Union County
- Baptist Memorial Hospital Tipton
- Baptist Memorial Hospital
- Baptist Memorial Hospital Desoto
- Baptist Memorial Hospital-Crittenden, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.54 of 100
- Quality
- 71.01
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 58.38
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.74 of 100
- Quality
- 68.68
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 59.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4027 | AR | MD | Internal Medicine Physician |
| E-4027 | AR | MD | Hematology & Oncology Physician |
| 768803 | TN | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Hospital-Tipton | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Baptist Memorial Hospital Union County, Inc. | Current | Accepting new patients | |
| Baptist Memorial Hospital-Tipton | Current | Accepting new patients | |
| Baptist Memorial Hospital - Crittenden Inc | Current | Accepting new patients | |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Baptist Memorial Hospital-Desoto, Inc. | Current | Accepting new patients | |
| Baptist Memorial Hospital-Desoto, Inc, | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Baptist Memorial Health Services, Inc. of Mississippi | Internal Medicine | Past | Accepting new patients |
Locations
4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820
2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631
391 Southcrest Cir
Ste 101
Southaven, MS 38671
Phone (662) 349-0356
363 Southcrest Cir
Ste 101
Southaven, MS 38671
Phone (662) 349-0755
363 Southcrest Cir
Ste 202
Southaven, MS 38671
Phone (662) 536-1944
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
2996 Kate Bond Rd
Ste 100
Bartlett, TN 38133
Phone (901) 383-5570
1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140
1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000
6029 Walnut Grove Rd
Ste 305
Memphis, TN 38120
Phone (901) 226-0533
6029 Walnut Grove Rd
Ste 301
Memphis, TN 38120
Phone (901) 747-9081
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
1109 E Reelfoot Ave
Ste F
Union City, TN 38261
Phone (731) 884-1412
Interoperability endpoints
- oogbeide22802@direct.bmhcc.org
Organizations & group practices 10
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.
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
-
- General Acute Care Hospital
- New Albany, MS
- NPI 1780648352
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
-
- General Acute Care Hospital
- West Memphis, AR
- NPI 1437634524
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1114464211
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Community/Retail Pharmacy
- Southaven, MS
- NPI 1790669331
-
- Internal Medicine Physician
- New Albany, MS
- NPI 1104971696
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
-
- General Acute Care Hospital
- West Memphis, AR
- NPI 1437634524
-
- General Acute Care Hospital
- New Albany, MS
- NPI 1780648352
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1952375156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 315",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202146",
"telephone_number": "901-683-0055",
"fax_number": "901-322-2947"
}
],
"practiceLocations": [
{
"address_1": "6029 Walnut Grove Rd Ste 305",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381202155",
"country_code": "US",
"telephone_number": "901-226-0533",
"fax_number": "901-226-0581",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 N 7th St",
"address_purpose": "LOCATION",
"city": "West Memphis",
"state": "AR",
"postal_code": "723012017",
"country_code": "US",
"telephone_number": "870-394-7804",
"fax_number": "870-394-7794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "363 Southcrest Cir Ste 101",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386714737",
"country_code": "US",
"telephone_number": "662-349-0755",
"fax_number": "662-349-0356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGBEIDE",
"first_name": "OSARENREN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E4027",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AR",
"license": "E-4027",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MS",
"license": "23549",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TN",
"license": "768803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155337001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.