DOUGLAS O. OGUMBO FNP
NPI 1205227352
Nurse Practitioner - Family in Middletown, NY

Q: What is Douglas Ogumbo's NPI number?

The NPI number for Douglas Ogumbo is 1205227352. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Q: What is Douglas Ogumbo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Ogumbo was last updated on May 14, 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.

Active since February 11, 2015PECOS EnrolledAccepts Medicare Assignment

707 E MAIN ST, MIDDLETOWN, NY 10940(845) 333-3370(845) 333-3372 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2024, Oct 13, 2020 (2 updates tracked since 2020).

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About Douglas O. Ogumbo Fnp NPPES

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

DOUGLAS O. OGUMBO FNP (NPI 1205227352) is an individual family provider in Middletown, New York, licensed in New York (F339089) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and maintains a secondary practice location in Harris.

NPPES Registry Identity

NPI1205227352

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDOUGLAS O. OGUMBOCredential: FNP

Location Address707 E MAIN STMiddletown, NY 10940-2650

Mailing Address707 E Main StMiddletown, NY 10940-2650 · (845) 333-3370 · Fax (845) 333-3372

Phone(845) 333-3370

Fax(845) 333-3372

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 11, 2015

Last NPPES UpdateMay 14, 20242 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1205227352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NY · F339089✔ Licensed in NY · F339089-1

707 E MAIN ST, Middletown, NY 10940

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Secondary Practice Location 1

Location 168 Harris Bushville RdHarris, NY 12742 · Phone (845) 333-8484 · Fax (845) 333-6981

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

Douglas O. Ogumbo Fnp 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 ID2163740887

PECOS Enrollment IDI20150409000784

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

577 services211 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

186 services131 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

184 services177 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

148 services147 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

50 services50 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

44 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330126

Location707 East Main StreetMiddletown, NY 10940 · Orange County

Emergency services Birthing friendly

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330158

Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County

Emergency services Birthing friendly

Garnet Health Medical Center Catskills

Acute Care Hospitals · Harris, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330386

Location68 Harris Bushville Road, P O Box 800Harris, NY 12742 · Sullivan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10940 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

$95.99 typical visit price

range $61.88 – $187.05

Typical copayment $23.99 (range $15.47 – $46.76)

Most-billed visit code 99203

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers15 claims15 services$14.36 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers32 claims32 services$63.97 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KRASSIMIR ATANASSOV MD

Surgery (Surgical Critical Care)