Individual provider Active NPI

Iheanyichukwu Ogu, M.D.

  • Nephrology Physician
  • Huntington, WV
National Provider Identifier
1992093678
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
T3842 Issued in TX
Practice address
1249 15TH St
Huntington, WV 25701-3662
Phone
(304) 691-1000
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 26890 WV
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X T3842 TX Primary

Addresses

Primary practice location

1249 15TH St
Huntington, WV 25701-3662

Mailing address

1150 N 18TH St Ste 300
Abilene, TX 79601-2931
Phone (325) 670-2255

Other practice location 1

1150 N 18th St Ste 300
Abilene, TX 79601-2931
Phone (325) 670-2255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address iheanyichukwo.ogu@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220124000188 TX Practitioner - NephrologyPractitioner - Internal Medicine 6709020308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1150 N 18TH St
Suite 401
Abilene, TX 79601-2931
Phone (325) 670-4560

Hospital & facility affiliations

  • Fresenius Medical Care Abilene Lone Star Dialysis facility, Abilene, TX, CCN 672722
  • Fresenius Medical Care Brownwood Dialysis facility, Brownwood, TX, CCN 452559
  • Fresenius Medical Care Abilene Dialysis facility, Abilene, TX, CCN 452511
  • Hendrick Medical Center Dialysis facility, Abilene, TX, CCN 453521
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587
  • Haskell Memorial Hospital Hospital, Haskell, TX, CCN 451341
  • Stonewall Memorial Hospital District Hospital, Aspermont, TX, CCN 451318
  • North Runnels Hospital Hospital, Winters, TX, CCN 451315

Merit-based Incentive Payment System (MIPS)

Final score
79.41 of 100Reported as individual
Quality
67.18
Promoting interoperability
98
Improvement activities
40
Cost
46.2

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Mar 1, 2022 Accepting new patients
Hendrick Provider Network CurrentSince Mar 1, 2022 Accepting new patients
Quantum Emergency Physicians PA CurrentSince Oct 20, 2023 Accepting new patients

Locations

1150 N 18th St
Ste 401
Abilene, TX 79601
Phone (325) 670-4560

1150 N 18th St
Ste 300
Abilene, TX 79601
Phone (325) 670-2255

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321

1400 S 1st St
Haskell, TX 79521
Phone (940) 228-0612

Interoperability endpoints

  • Direct secure messaging: iheanyichukwu.ogu.md.1@21794.direct.athenahealth.com
  • Direct secure messaging: iheanyichukwo.ogu@marshall.cernerdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1992093678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 18TH ST STE 300",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012931",
            "telephone_number": "325-670-2255",
            "fax_number": "325-670-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 15TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013662",
            "telephone_number": "304-691-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 N 18th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012931",
            "country_code": "US",
            "telephone_number": "325-670-2255",
            "fax_number": "325-670-5537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGU",
        "first_name": "IHEANYICHUKWU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "26890",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "T3842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iheanyichukwo.ogu@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1249 15th St",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.