DR. UCHENNA RAPHAEL OFOMA MD
NPI 1225222409
Internal Medicine - Critical Care Medicine in Saint Louis, MO

Active since August 30, 2007PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
11133 DUNN RD, DEPT ANESTHESIOLOGY, SAINT LOUIS, MO 63136(800) 862-9980(314) 362-1185 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 3 more (6 updates tracked since 2019).

About Dr. Uchenna Raphael Ofoma Md NPPES

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

DR. UCHENNA RAPHAEL OFOMA MD (NPI 1225222409) is an individual critical care medicine provider in Saint Louis, Missouri, licensed in Missouri (2019005181) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1225222409
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. UCHENNA RAPHAEL OFOMACredential: MD
Location Address11133 DUNN RD, DEPT ANESTHESIOLOGYSaint Louis, MO 63136-6163
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (800) 862-9980 · Fax (314) 362-1185
Fax(314) 362-1185
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 30, 2007
Last NPPES UpdateApril 17, 20256 updates tracked since enumeration
✔ NPI 1225222409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in MO · 2019005181
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
11133 DUNN RD, Saint Louis, MO 63136

Other Identifiers 1

Medicaid200069616MO

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. Uchenna Raphael Ofoma 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 ID9931274339
PECOS Enrollment IDI20190618000630, I20191023000000
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

3

Medicare enrollment records show Uchenna Ofoma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2 MEMORIAL DR STE 101
Alton, IL 62002
  • Reassigned Medicare billing, Illinois enrollment
  • 530 clinicians in this Medicare group
Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 405 clinicians in this Medicare group
General Practice
3015 N BALLAS RD
Saint Louis, MO 63131
  • Reassigned Medicare billing, Missouri enrollment
  • 82 clinicians in this Medicare group

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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63136 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.81
Promoting Interoperability100
Improvement Activities40
Cost70.26

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.

Anesthesiologist Assistant
11133 DUNN RD
SAINT LOUIS, MO 63136
Radiology (Diagnostic Radiology)
11133 DUNN RD, DEPT RADIOLOGY
SAINT LOUIS, MO 63136
Internal Medicine (Critical Care Medicine)
11133 DUNN RD
SAINT LOUIS, MO 63136
Pathology (Anatomic Pathology)
11133 DUNN RD, DEPT. OF PATHOLOGY
SAINT LOUIS, MO 63136
Nurse Practitioner (Family)
11133 DUNN RD, SUITE 2335
SAINT LOUIS, MO 63136
Emergency Medicine
11133 DUNN RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63136
Nurse Practitioner
11133 DUNN RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63136
Psychiatric Unit
11133 DUNN RD
SAINT LOUIS, MO 63136

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 Uchenna Ofoma's NPI number?

The NPI number for Uchenna Ofoma is 1225222409. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Uchenna Ofoma located?

Uchenna Ofoma practices at 11133 Dunn Rd Dept Anesthesiology, Saint Louis, MO 63136. The listed phone number is (800) 862-9980.

What is Uchenna Ofoma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Uchenna Ofoma enrolled in Medicare?

Yes. Uchenna Ofoma 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 Uchenna Ofoma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Uchenna Ofoma reassigns Medicare benefits to 3 organizations: Washington University Physicians In Illinois, Inc (Alton, IL), Washington University (Saint Louis, MO) and Missouri Baptist Medical Center (Saint Louis, MO). 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 Uchenna Ofoma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Uchenna Ofoma affiliated with any hospitals?

According to CMS data, Uchenna Ofoma is affiliated with Memorial Hospital and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Uchenna Ofoma was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.