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DR. STELLA UGBOMA MD
NPI 1073574919
Anesthesiology in Grand Rapids, MI

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 364-4200(616) 364-7347 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2024, Jun 15, 2020 (2 updates tracked since 2020).

About Dr. Stella Ugboma Md NPPES

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

DR. STELLA UGBOMA MD (NPI 1073574919) is an individual anesthesiology provider in Grand Rapids, Michigan, licensed in Pennsylvania (MD484164) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital - Pocono, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073574919
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. STELLA UGBOMACredential: MD
Location Address3333 EVERGREEN DR NEGrand Rapids, MI 49525-9493
Mailing Address3015 Ledgestone Pl NeGrand Rapids, MI 49525-7066 · (734) 945-2653
Phone(616) 364-4200
Fax(616) 364-7347
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMarch 30, 2006
Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1073574919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in PA · MD484164✔ Licensed in MI · 4301080748✔ Licensed in IN · 01061550A✔ Licensed in OH · 35.094099
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3333 EVERGREEN DR NE, Grand Rapids, MI 49525
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11805 27th StPortsmouth, OH 45662-2640 · Phone (740) 356-8231 · Fax (740) 353-3686
Location 24000 Wellness DrMidland, MI 48670-9493 · Phone (989) 839-3000

Other Identifiers 1

Medicaid4699962MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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. Stella Ugboma Md 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 ID6204735921
PECOS Enrollment IDI20240401000171
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 Stella Ugboma reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beacon Medical Group, Inc.
90 mi
Family Medicine
306 E VISTULA
Bristol, IN 46507
  • Reassigned Medicare billing, Indiana enrollment
  • 734 clinicians in this Medicare group
NPI 1447285697 (574) 848-4427
Genesis Anesthesia Providers, LLC
280 mi
Anesthesiology
2951 MAPLE AVE
Zanesville, OH 43701
  • Reassigned Medicare billing, Ohio enrollment
  • 103 clinicians in this Medicare group
NPI 1295205433 (740) 297-8643
Somc Medical Care Foundation, Inc.
324 mi
Diagnostic Radiology
1805 27TH ST
Portsmouth, OH 45662
  • Reassigned Medicare billing, Ohio enrollment
  • 549 clinicians in this Medicare group
NPI 1366686230 (740) 356-8117
North American Partners In Anesthesia, Pennsylvania , LLC
645 mi
Anesthesiology
1305 WALT WHITMAN RD STE 300
Melville, NY 11747
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 928 clinicians in this Medicare group
NPI 1639137854 (516) 946-3000

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.

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost96.06

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.

MR. JEFFREY RYAN HALL AA
Anesthesiologist Assistant
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
MRS. LINDSAY E MCKELVEY CRNA
Nurse Anesthetist, Certified Registered
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. JEFFREY M RICKETTS DO
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
MRS. HEATHER M MONTGOMERY-KANITZ CRNA
Nurse Anesthetist, Certified Registered
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. VIVIAN NNENNA ONYEWUCHE M.D.
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. ERIC LEE LARSON MD
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. ANNA MARIA UITVLUGT MD
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
ANESTHESIA MEDICAL CONSULTANTS, PC
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200

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 Stella Ugboma's NPI number?

The NPI number for Stella Ugboma is 1073574919. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Stella Ugboma located?

Stella Ugboma practices at 3333 Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 364-4200.

What is Stella Ugboma's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Stella Ugboma enrolled in Medicare?

Yes. Stella Ugboma 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 Stella Ugboma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stella Ugboma reassigns Medicare benefits to 4 organizations: Beacon Medical Group, Inc. (Bristol, IN), Genesis Anesthesia Providers, LLC (Zanesville, OH), Somc Medical Care Foundation, Inc. (Portsmouth, OH) and North American Partners In Anesthesia, Pennsylvania , LLC (Melville, NY). 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 Stella Ugboma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stella Ugboma accept?

Health plans from CareSource list Stella Ugboma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stella Ugboma affiliated with any hospitals?

According to CMS data, Stella Ugboma is affiliated with Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Stella Ugboma was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.