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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Ismail Oshogwemoh reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Health Medical Group
Same address
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Methodist Medical Center Of Illinois
83 mi
Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
NPI 1184670663 (309) 671-8230
Richland Memorial Hospital, Inc.
95 mi
Rural Health
1200 N EAST ST
Olney, IL 62450
  • Reassigned Medicare billing, Illinois enrollment
  • 301 clinicians in this Medicare group
NPI 1053792689 (618) 392-2940
Obhg California, P.C.
485 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Obhg California PC
  • 711 clinicians in this Medicare group
NPI 1215258892 (800) 967-2289

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

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.

DR. UDAY BHASKAR KANAKADANDI MD
Internal Medicine (Interventional Cardiology)
611 W PARK ST, HVI
URBANA, IL 61801
Champaign County (217) 383-3110
DR. VIKAS DESAI MD
Urology
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3160
ANUJA BEDI D.O, M.P.H
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
EMILY REMINGTON NP
Nurse Practitioner (Women's Health)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3140
MAHMOUD ELRAKHAWY MD
Surgery (Vascular Surgery)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 904-7000
KENDALL E WALLACE APRN
Nurse Practitioner (Family)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
ANNE FAHNESTOCK PT
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
TIMTIM APPERSON APRN
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 954-2805

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 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.

Where is Ismail Oshogwemoh located?

Ismail Oshogwemoh practices at 611 W Park St, Urbana, IL 61801. The listed phone number is (217) 383-3140.

What is Ismail Oshogwemoh's specialty?

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

Is Ismail Oshogwemoh enrolled in Medicare?

Yes. Ismail Oshogwemoh 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 Ismail Oshogwemoh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ismail Oshogwemoh reassigns Medicare benefits to 4 organizations: Carle Health Medical Group (Urbana, IL), Methodist Medical Center Of Illinois (Peoria, IL), Richland Memorial Hospital, Inc. (Olney, IL) and Obhg California, P.C. (Greenville, SC). 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 Ismail Oshogwemoh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ismail Oshogwemoh affiliated with any hospitals?

According to CMS data, Ismail Oshogwemoh is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Ismail Oshogwemoh was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.