RALPH OGWOTU - NPI 1144674581 - Nurse Practitioner in Riverdale, GA

Q: What is Ralph Ogwotu's NPI number?

The NPI number for Ralph Ogwotu is 1144674581. It was assigned to this individual provider in the NPPES registry on April 22, 2016.

Q: What is Ralph Ogwotu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Ralph Ogwotu was last updated on July 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ralph Ogwotu NPPES

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

RALPH OGWOTU (NPI 1144674581) is an individual psychiatric/mental health provider in Riverdale, Georgia, licensed in Georgia (233148) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144674581

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameRALPH OGWOTU

Location Address6572 RIVER PARK DR STE 101Riverdale, GA 30274-2214

Mailing Address110 W Pier WayFayetteville, GA 30214-4617 · (404) 514-3498

Phone(404) 514-3498

Sole ProprietorNo

Enumeration DateApril 22, 2016

Last NPPES UpdateJuly 22, 20243 updates tracked since enumeration

NPPES CertifiedJuly 22, 2024

✔ NPI 1144674581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · 233148

Also ListedRegistered NurseTaxonomy 163W00000X · License RN233148 (GA)

6572 RIVER PARK DR STE 101, Riverdale, GA 30274

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Other Identifiers 1

Medicaid1144674581GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ralph Ogwotu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30274 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 7

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

BERTA E BOOTH PA

Physician Assistant