DR. OBIAGERI EGEOLU MD
NPI 1114668449
Family Medicine in Roseburg, OR

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
150 NE KENNETH FORD DR, ROSEBURG, OR 97470(541) 672-9596 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Obiageri Egeolu Md NPPES

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

DR. OBIAGERI EGEOLU MD (NPI 1114668449) is an individual family medicine provider in Roseburg, Oregon, licensed in Oregon (210636) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114668449
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. OBIAGERI EGEOLUCredential: MD
Location Address150 NE KENNETH FORD DRRoseburg, OR 97470-1042
Mailing Address150 Ne Kenneth Ford DrRoseburg, OR 97470-1042
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 1, 2022
NPPES CertifiedApril 1, 2022
NPI 1114668449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · 210636
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
150 NE KENNETH FORD DR, Roseburg, OR 97470

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

Dr. Obiageri Egeolu 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 ID1456732049
PECOS Enrollment IDI20251111003868
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 2

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97470 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 20

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

Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Dentist (Dental Public Health)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Dentist
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Pharmacy (Community/Retail Pharmacy)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Dentist (General Practice)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Community Health Worker
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Social Worker
150 NE KENNETH FORD DR
ROSEBURG, OR 97470

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 Obiageri Egeolu's NPI number?

The NPI number for Obiageri Egeolu is 1114668449. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Obiageri Egeolu located?

Obiageri Egeolu practices at 150 NE Kenneth Ford Dr, Roseburg, OR 97470. The listed phone number is (541) 672-9596.

What is Obiageri Egeolu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Obiageri Egeolu enrolled in Medicare?

Yes. Obiageri Egeolu 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.

Is Obiageri Egeolu affiliated with any hospitals?

According to CMS data, Obiageri Egeolu is affiliated with Methodist Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Obiageri Egeolu was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.