MICHAEL IFEANYI OTUGH NP
NPI 1093944860
Nurse Practitioner - Adult Health in West Hempstead, NY

Active since July 14, 2009PECOS Enrolled
354 HEMPSTEAD AVE STE 101, WEST HEMPSTEAD, NY 11552(516) 500-9905(516) 500-9533 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 15, 2020, Mar 17, 2018, Aug 2, 2017 (3 updates tracked since 2017).

About Michael Ifeanyi Otugh Np NPPES

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

MICHAEL IFEANYI OTUGH NP (NPI 1093944860) is an individual adult health provider in West Hempstead, New York, licensed in New York (307338) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093944860
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMICHAEL IFEANYI OTUGHCredential: NP
Location Address354 HEMPSTEAD AVE STE 101West Hempstead, NY 11552-2050
Mailing Address354 Hempstead Ave Ste 101West Hempstead, NY 11552-2050 · (516) 500-9905 · Fax (516) 500-9533
Fax(516) 500-9533
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 14, 2009
Last NPPES UpdateJanuary 15, 20203 updates tracked since enumeration
NPI 1093944860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 307338
354 HEMPSTEAD AVE STE 101, West Hempstead, NY 11552

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Ifeanyi Otugh Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375826969
PECOS Enrollment IDI20170206000417
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services25 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11552 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.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Adult Health)
354 HEMPSTEAD AVE STE 101
WEST HEMPSTEAD, NY 11552
Nurse Practitioner (Psychiatric/Mental Health)
354 HEMPSTEAD AVE STE 101
WEST HEMPSTEAD, NY 11552
Nurse Practitioner (Family)
354 HEMPSTEAD AVE STE 101
WEST HEMPSTEAD, NY 11552

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093944860, enumerated as an "individual" on July 14, 2009.

The provider is located at 354 HEMPSTEAD AVE STE 101 WEST HEMPSTEAD, NY 11552 and the phone number is (516) 500-9905.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.