DR. KIM CHIEDOZI OHAEGBULAM MD, PHD
NPI 1326508409
General Practice in Forest Hills, NY
About Dr. Kim Chiedozi Ohaegbulam Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIM CHIEDOZI OHAEGBULAM MD, PHD (NPI 1326508409) is an individual general practice provider in Forest Hills, New York, licensed in Virginia (0101277423) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2019).
NPPES Registry Identity
Specialties & Licenses
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. Kim Chiedozi Ohaegbulam Md, Phd 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kim Ohaegbulam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Abingdon, MD 21009
- Reassigned Medicare billing, Maryland enrollment
- Also billed through NPI 1457023616 (Maryland), NPI 1942546486 (Maryland)
- 1,253 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Virginia enrollment
- 501 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 75 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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
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 Kim Ohaegbulam's NPI number?
The NPI number for Kim Ohaegbulam is 1326508409. It was assigned to this individual provider in the NPPES registry on March 23, 2019.
Where is Kim Ohaegbulam located?
Kim Ohaegbulam practices at 102-01 66th Rd Department Of Medicine, Forest Hills, NY 11375. The listed phone number is (718) 830-4000.
What is Kim Ohaegbulam's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Kim Ohaegbulam enrolled in Medicare?
Yes. Kim Ohaegbulam 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 Kim Ohaegbulam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Ohaegbulam reassigns Medicare benefits to 3 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Abingdon, MD), Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Kim Ohaegbulam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kim Ohaegbulam was last updated on July 23, 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.
# Dr. Kim Chiedozi Ohaegbulam, MD, PHD · NPI 1326508409
General Practice physician in Forest Hills, New York. Individual provider, active in the CMS NPPES registry since March 23, 2019.
## Identity
- **NPI:** 1326508409 (Entity type: Individual)
- **Enumerated:** March 23, 2019
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 0101277423 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 102-01 66TH RD, DEPARTMENT OF MEDICINE, Forest Hills, NY 11375
- **Phone:** (718) 830-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1265971873, Abingdon, MD); Signify Health, LLC (NPI 1689158487, Dallas, TX); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albert Einstein College Of Medicine Of Yeshiva University, class of 2019
## Record status
- **NPPES last updated:** July 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1326508409) · Data from the CMS NPPES public registry.