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DR. OSARHIEMEN A. OMWANGHE MD
NPI 1164879474
Internal Medicine in League City, TX

Active since May 17, 2016PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
6465 S SHORE BLVD, LEAGUE CITY, TX 77573(281) 538-7735(281) 538-3936 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2023, Oct 21, 2021, Jul 15, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Osarhiemen A. Omwanghe Md NPPES

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

DR. OSARHIEMEN A. OMWANGHE MD (NPI 1164879474) is an individual internal medicine provider in League City, Texas, licensed in Texas (S7305) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1164879474
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. OSARHIEMEN A. OMWANGHECredential: MD
Location Address6465 S SHORE BLVDLeague City, TX 77573-5528
Mailing AddressPo Box 650859, Dept 710Dallas, TX 75265-0859 · (409) 772-2222
Phone(281) 538-7735
Fax(281) 538-3936
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 17, 2016
Last NPPES UpdateMay 5, 20235 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
✔ NPI 1164879474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · S7305
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6465 S SHORE BLVD, League City, TX 77573
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Insurance Company.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. Osarhiemen A. Omwanghe 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 ID5294159059
PECOS Enrollment IDI20230927003541
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

2

Medicare enrollment records show Osarhiemen Omwanghe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Utmb Faculty Group Practice
21 mi
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group
NPI 1942241146 (409) 772-2222
Hackensack Meridian Health Medical Group - Primary Care PC
1,399 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 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.
67 services42 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.
45 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77573 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
$131.16 typical visit price
range $57.19 – $173.07
Typical copayment $32.79 (range $14.29 – $43.26)
Most-billed visit code 99204
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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.

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.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability94
Improvement Activities40
Cost47.75

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.

MRS. LAURA DAY ELLENDER RN, CEN, FNP-C
Nurse Practitioner (Family)
6465 S SHORE BLVD
LEAGUE CITY, TX 77573
Galveston County (281) 538-7735
KIRSTEN HERRERA M.D.
Family Medicine
6465 S SHORE BLVD
LEAGUE CITY, TX 77573
Galveston County (281) 538-7735
JAYSHREE SUSAN THOMAS DO
Family Medicine
6465 S SHORE BLVD
LEAGUE CITY, TX 77573
Galveston County (281) 538-7735

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 Osarhiemen Omwanghe's NPI number?

The NPI number for Osarhiemen Omwanghe is 1164879474. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Osarhiemen Omwanghe located?

Osarhiemen Omwanghe practices at 6465 S Shore Blvd, League City, TX 77573. The listed phone number is (281) 538-7735.

What is Osarhiemen Omwanghe's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Osarhiemen Omwanghe enrolled in Medicare?

Yes. Osarhiemen Omwanghe 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 Osarhiemen Omwanghe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Osarhiemen Omwanghe reassigns Medicare benefits to 2 organizations: Utmb Faculty Group Practice (Galveston, TX) and Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). 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 Osarhiemen Omwanghe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Osarhiemen Omwanghe accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Insurance Company list Osarhiemen Omwanghe 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 Osarhiemen Omwanghe affiliated with any hospitals?

According to CMS data, Osarhiemen Omwanghe is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Osarhiemen Omwanghe was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.