ISMAIL OLUSAYO OSHOGWEMOH D.O.
NPI 1053626705
Obstetrics & Gynecology in Urbana, IL

Q: What is Ismail Oshogwemoh's NPI number?

The NPI number for Ismail Oshogwemoh is 1053626705. It was assigned to this individual provider in the NPPES registry on August 18, 2010.

Q: What is Ismail Oshogwemoh's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Ismail Oshogwemoh was last updated on April 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 18, 2010PECOS EnrolledAccepts Medicare Assignment

611 W PARK ST, URBANA, IL 61801(217) 383-3140(217) 383-4966 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 12, 2021, Jun 23, 2017, Jan 10, 2017 and 1 more (4 updates tracked since 2016).

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About Ismail Olusayo Oshogwemoh D.o. NPPES

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

ISMAIL OLUSAYO OSHOGWEMOH D.O. (NPI 1053626705) is an individual obstetrics & gynecology provider in Urbana, Illinois, licensed in Illinois (036144737) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1053626705

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameISMAIL OLUSAYO OSHOGWEMOHCredential: D.O.

Location Address611 W PARK STUrbana, IL 61801-2529

Mailing Address611 W Park St, FapcUrbana, IL 61801

Phone(217) 383-3140

Fax(217) 383-4966

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 18, 2010

Last NPPES UpdateApril 12, 20214 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1053626705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in IL · 036144737✔ Licensed in OH · 58.003593

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 006762 (AZ)

611 W PARK ST, Urbana, IL 61801

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ismail Olusayo Oshogwemoh D.o. 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 ID3274854880

PECOS Enrollment IDI20210106001221

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BETH ANN LANGFORD CNNP

Nurse Practitioner (Neonatal)