DR. NGOZIKA UGONWA ANUSIONWU M.D NPI 1003043787

Internal Medicine in Cincinnati, OH

NPI 1003043787 Individual Female Years of Experience 16 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About NGOZIKA ANUSIONWU

Ngozika Anusionwu is an internal medicine provider established in Cincinnati, Ohio and her medical specialization is internal medicine with more than 16 years of experience. The NPI number of Ngozika Anusionwu is 1003043787 and was assigned on June 2009. The practitioner's primary taxonomy code is 207R00000X with license number 35.098271 (OH). The provider is registered as an individual and her NPI record was last updated 7 years ago.

An internist like Dr. Ngozika Ugonwa Anusionwu M.d is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Ngozika Anusionwu is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Ngozika Anusionwu is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Mercy Health-anderson Hospital and The Jewish Hospital-mercy Health.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: care plan. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1003043787

Provider NameDR. NGOZIKA UGONWA ANUSIONWU M.D
Provider Location Address7500 STATE RD CINCINNATI, OH 45255
Provider Mailing Address7500 STATE RD CINCINNATI, OH 45255
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2006
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date06-19-2009
Last Update Date03-18-2015


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.35.098271
License StateOH
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. NGOZIKA UGONWA ANUSIONWU M.D
7500 STATE RD
CINCINNATI, OH
ZIP 45255
Phone: (513) 624-4500

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Mailing Address

DR. NGOZIKA UGONWA ANUSIONWU M.D
7500 STATE RD
CINCINNATI, OH
ZIP 45255
Phone: (513) 624-4500



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6709030679
PECOS Enrollment IDI20130129000666
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Care Plan 100% 101
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ngozika Anusionwu is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MERCY HEALTH-ANDERSON HOSPITAL7500 STATE ROAD
CINCINNATI, OH 45255
(513) 624-4006Acute Care Hospitals360001
THE JEWISH HOSPITAL-MERCY HEALTH4777 EAST GALBRAITH ROAD
CINCINNATI, OH 45236
(513) 686-4127Acute Care Hospitals360016

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023000536HOSPITALIST SERVICES MEDICAL GROUP OF ANDERSON TOWNSHIP, INC.
Organization
Hospitalist7500 STATE RD
CINCINNATI, OH 45255
(513) 624-4500
1053392654 LEE STEPHEN MEGOIS MD
Individual
Anesthesiology7500 STATE RD
CINCINNATI, OH 45255
(859) 341-7246
1134100738 ALAN ARNOLD GODOFSKY MD
Individual
Anesthesiology7500 STATE RD ANESTHESIA INTENSIVE CARE CONSULTANTS INC
CINCINNATI, OH 45255
(859) 341-7246
1275515470 MARK CHRISTOPHER ZIEGLER MD
Individual
Anesthesiology7500 STATE RD ANESTHESIA INTENSIVE CARE CONSULTANTS INC
CINCINNATI, OH 45255
(859) 341-7246
1053393660 ROBERT STACY WELLS MD
Individual
Anesthesiology7500 STATE RD
CINCINNATI, OH 45255
(859) 341-7246
1023090636 NALINI TANDON MD
Individual
Anesthesiology7500 STATE RD ANETHESIA INTENSIVE CARE CONSULTANTS INC
CINCINNATI, OH 45255
(859) 341-7246
1942285382 ROGER WAYNE HARBERT CRNA
Individual
Nurse Anesthetist, Certified Registered7500 STATE RD ANESTHESIA INTENSIVE CARE CONSULTANTS INC
CINCINNATI, OH 45255
(859) 341-7246
1992780332 KAREN S PHELPS CRNA
Individual
Nurse Anesthetist, Certified Registered7500 STATE RD ANESTHESIA INTENSIVE CARE CONSULTANTS INC
CINCINNATI, OH 45255
(859) 341-7246
1073598587 MICHAEL J MUELLER CRNA
Individual
Nurse Anesthetist, Certified Registered7500 STATE RD ANESTHESIA INTENSIVE CARE CONSULTANTS INC
CINCINNATI, OH 45255
(859) 341-7246
1063497402 THOMAS H TOON CRNA
Individual
Nurse Anesthetist, Certified Registered7500 STATE RD ANESTHESIA INTENSIVE CARE CONSULTANTS INC
CINCINNATI, OH 45255
(859) 341-7246
1700861838 JAYME L CUNDIFF CRNA
Individual
Nurse Anesthetist, Certified Registered7500 STATE RD
CINCINNATI, OH 45255
(859) 341-7246
1881679926 ROBERT A MARTINA CRNA
Individual
Nurse Anesthetist, Certified Registered7500 STATE RD ANESTHESIA INTENSIVE CARE CONSULTANTS INC
CINCINNATI, OH 45255
(859) 341-7246
1730164898 BARBARA J HURSH CRNA
Individual
Nurse Anesthetist, Certified Registered7500 STATE RD ANESTHESIA INTENSIVE CARE CONSULTANTS INC
CINCINNATI, OH 45255
(859) 341-7246
1356327043 ANDREA M MCDERMOTT CRNA
Individual
Nurse Anesthetist, Certified Registered7500 STATE RD
CINCINNATI, OH 45255
(859) 341-7246
1508845355 SAJINI MATHEW M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)7500 STATE RD
CINCINNATI, OH 45255
(513) 624-4500
1558470633 THOMAS FRANCIS CRAVEN M.D.
Individual
Radiology (Diagnostic Radiology)7500 STATE RD
CINCINNATI, OH 45255
(513) 231-8885
1750490892 CLIFFORD WAYNE PLEATMAN M.D.
Individual
Radiology (Diagnostic Radiology)7500 STATE RD
CINCINNATI, OH 45255
(513) 231-8885
1730290461ANDERSON RADIOLOGY ASSOCIATES LLP
Organization
Radiology (Diagnostic Radiology)7500 STATE RD
CINCINNATI, OH 45255
(513) 231-8885
1013062140DR. SUSAN MARIE MASHNI PHARM D
Individual
Pharmacist7500 STATE RD
CINCINNATI, OH 45255
(513) 624-4689
1770618373MR. CRAIG MICHAEL WRIGHT RPH
Individual
Pharmacist7500 STATE RD
CINCINNATI, OH 45255
(513) 624-4668

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.