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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENECHI OGBONNA
NPI 1235827601
Family Medicine in Shreveport, LA

Active since April 25, 2023PECOS Enrolled
1501 KINGS HWY, SHREVEPORT, LA 71103(318) 626-4092 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kenechi Ogbonna NPPES

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

KENECHI OGBONNA (NPI 1235827601) is an individual family medicine provider in Shreveport, Louisiana, licensed in Texas (W3294) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1235827601
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKENECHI OGBONNA
Location Address1501 KINGS HWYShreveport, LA 71103-4228
Mailing Address1501 Kings HwyShreveport, LA 71103-4228
Phone(318) 626-4092
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 25, 2023
Last NPPES UpdateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1235827601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · W3294
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.
1501 KINGS HWY, Shreveport, LA 71103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4981169653
PECOS Enrollment IDI20260723000400
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 Reassignment

Medicare enrollment records show Kenechi Ogbonna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oak Street Health Of Texas, PLLC
205 mi
Primary Care
4115 E LANCASTER AVE
Fort Worth, TX 76103
  • Reassigned Medicare billing, Texas enrollment
  • 175 clinicians in this Medicare group
NPI 1497387419 (312) 733-9730

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

HS LOUISIANA, LLC
General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Caddo Parish (904) 834-2679
MUNIRA DAWITH MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-6619
SEFI AHMED JAWADI
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0505
LUKE MUIZNIEKS
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-1574
KRISTIN BEMBENICK
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5300
CHRISTIAN SCOTT BAKER MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5053
BRYCE MILLER DO
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0434
NEERAJ PAVAN REDDY TELUGU
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0434

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 Kenechi Ogbonna's NPI number?

The NPI number for Kenechi Ogbonna is 1235827601. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Kenechi Ogbonna located?

Kenechi Ogbonna practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-4092.

What is Kenechi Ogbonna's specialty?

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

Is Kenechi Ogbonna enrolled in Medicare?

Yes. Kenechi Ogbonna is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenechi Ogbonna was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.