Active NPI
Leonard C. Egbujiobi, M.D.
- Cardiovascular Disease Physician
- Beloit, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 30790-020
- Practice address
- 1969 West Hart Road
Beloit Memorial Hospital
Beloit, WI 53511 - Phone
- (608) 364-2200
- Fax
- (608) 363-7377
- NPI assigned
- Nov 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 30790-020 | WI | Primary |
Addresses
Primary practice location
1969 West Hart Road
Beloit Memorial Hospital
Beloit, WI 53511
Mailing address
1905 E. Huebbe Parkway
Beloit Health System Inc
Beloit, WI 53511-1842
Phone (608) 364-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10798 | Other | DEAN HEALTH PLAN | |
| 1972679355 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 Lee LN
Beloit, WI 53511-3935
Phone (608) 364-4670
1670 Lee LN
Beloit, WI 53511-3935
Phone (608) 364-5252
1735 Madison Rd
Beloit, WI 53511-3216
Phone (608) 363-7510
1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Phone (608) 363-5000
1905 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-2200
1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5756
2250 E W Hart Rd
Beloit, WI 53511-1816
Phone (608) 364-2200
307 Ogden Ave
Clinton, WI 53525-9007
Phone (608) 672-2206
Hospital & facility affiliations
- Beloit Health System
- University of Wi Hospitals & Clinics Authority
- SSM Health St Mary'S Hospital - Janesville
- Mercy Health System Corp
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.93 of 100
- Quality
- 64.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 48 |
| Pacemaker insertion or repair | 23 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30790-020 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beloit Health System, Inc | Current | Accepting new patients | |
| Beloit Health System Inc | Cardiovascular Disease | Current | Accepting new patients |
| Beloit Clinic, S.C. | Cardiovascular Disease | Current | Accepting new patients |
| Beloit Health System, Inc | Past | Accepting new patients |
Locations
1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293
307 Ogden Ave
Clinton, WI 53525
Phone (608) 364-1348
Organizations & group practices 4
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 Practice Physician
- Beloit, WI
- NPI 1679616361
Cardiovascular Disease
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Beloit, WI
- NPI 1568677417
-
- Family Medicine Physician
- Janesville, WI
- NPI 1407999337
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beloit, WI
- NPI 1982780094
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1194004408
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1972679355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 E. HUEBBE PARKWAY",
"address_2": "BELOIT HEALTH SYSTEM INC",
"city": "BELOIT",
"state": "WI",
"postal_code": "535111842",
"telephone_number": "608-364-2200",
"fax_number": "608-363-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1969 WEST HART ROAD",
"address_2": "BELOIT MEMORIAL HOSPITAL",
"city": "BELOIT",
"state": "WI",
"postal_code": "53511",
"telephone_number": "608-364-2200",
"fax_number": "608-363-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGBUJIOBI",
"first_name": "LEONARD",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "30790-020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH PLAN",
"identifier": "10798",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972679355",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beloit, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.