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DR. ADORA OZUMBA M.D.
NPI 1013127885
Emergency Medicine in Fishers Island, NY

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
81.53/100
CMS Quality Rating
370 CENTRAL AVE, FISHERS ISLAND, NY 06390(631) 788-7244 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2026, Apr 24, 2017 (2 updates tracked since 2017).

About Dr. Adora Ozumba M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADORA OZUMBA M.D. (NPI 1013127885) is an individual emergency medicine provider in Fishers Island, New York, licensed in New York (252867) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milford, and is a graduate of Wake Forest University School Of Medicine (2006).

NPPES Registry Identity

NPI1013127885
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. ADORA OZUMBACredential: M.D.
Location Address370 CENTRAL AVEFishers Island, NY 06390-7836
Mailing Address370 Central AveFishers Island, NY 06390-7836 · (631) 788-7244
Phone(631) 788-7244
Sole ProprietorYes
Medical School CMSWake Forest University School Of MedicineGraduated 2006
Enumeration DateMay 23, 2007
Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1013127885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 252867✔ Licensed in CT · 52429
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
370 CENTRAL AVE, Fishers Island, NY 06390
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Secondary Practice Location 1

Location 1300 Seaside AveMilford, CT 06460-4603 · Phone (203) 688-4100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Adora Ozumba M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395898480
PECOS Enrollment IDI20090807000136
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Adora Ozumba reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bridgeport Hospital
55 mi
General Acute Care Hospital
300 SEASIDE AVE
Milford, CT 06460
  • Reassigned Medicare billing, Connecticut enrollment
  • 219 clinicians in this Medicare group
NPI 1619553021 (203) 876-4000
Emergency Physicians Of Connecticut PC
58 mi
Emergency Medicine
64 ROBBINS ST
Waterbury, CT 06708
  • Reassigned Medicare billing, Connecticut enrollment
  • 125 clinicians in this Medicare group
NPI 1902278906 (856) 686-4300
Northeast Medical Group, PLLC
86 mi
Internal Medicine
5 PERRYRIDGE RD
Greenwich, CT 06830
  • Reassigned Medicare billing, New York enrollment
  • 47 clinicians in this Medicare group
NPI 1942526207 (203) 384-3975

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
131 services127 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
109 services104 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
26 services26 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.96
Promoting Interoperability88
Improvement Activities40
Cost54.38

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adora Ozumba's NPI number?

The NPI number for Adora Ozumba is 1013127885. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Adora Ozumba located?

Adora Ozumba practices at 370 Central Ave, Fishers Island, NY 06390. The listed phone number is (631) 788-7244.

What is Adora Ozumba's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Adora Ozumba enrolled in Medicare?

Yes. Adora Ozumba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Adora Ozumba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adora Ozumba reassigns Medicare benefits to 3 organizations: Bridgeport Hospital (Milford, CT), Emergency Physicians Of Connecticut PC (Waterbury, CT) and Northeast Medical Group, PLLC (Greenwich, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adora Ozumba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adora Ozumba was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.