Individual provider Active NPI

Osarenren Ogbeide, MD

  • Hematology & Oncology Physician
  • Memphis, TN
National Provider Identifier
1952375156
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
768803 Issued in TN
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

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
155337001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN, MS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040830000091 AR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7911972443 Reassigns benefits to 2 organizations
I20141106001860 TN Practitioner - Hematology/Oncology 7911972443 Reassigns benefits to 3 organizations
I20150130000191 MS Practitioner - Hematology/Oncology 7911972443 Reassigns benefits to 3 organizations

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
Baptist Memorial Hospital-TiptonGroup PAC ID 6709878614, 29 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
58.38

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Merit-based Incentive Payment System (MIPS)

Final score
81.74 of 100Reported as group
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

LicenseStateTypeSpecialty
E4027ARMDInternal Medicine Physician
E-4027ARMDHematology & Oncology Physician
768803TNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital-Tipton CurrentSince May 15, 2022 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince May 15, 2022 Accepting new patients
Baptist Memorial Hospital Union County, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Baptist Memorial Hospital-Tipton CurrentSince May 15, 2022 Accepting new patients
Baptist Memorial Hospital - Crittenden Inc CurrentSince May 30, 2024 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Dec 9, 2019 Accepting new patients
Baptist Memorial Hospital-Desoto, Inc. CurrentSince May 15, 2022 Accepting new patients
Baptist Memorial Hospital-Desoto, Inc, CurrentSince May 15, 2022 Accepting new patients
Baptist Memorial Medical Group Inc Internal Medicine CurrentSince May 15, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.