HANY M OGHIA MD
NPI 1528067733
Urology in Hazard, KY

Q: What is Hany Oghia's NPI number?

The NPI number for Hany Oghia is 1528067733. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Q: What is Hany Oghia's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Hany Oghia was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment

97.4/100

CMS Quality Rating

200 MEDICAL CENTER DR, HAZARD, KY 41701(606) 487-7510(606) 439-6793 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Hany M Oghia Md NPPES

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

HANY M OGHIA MD (NPI 1528067733) is an individual urology provider in Hazard, Kentucky, licensed in Kentucky (25492) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and is a graduate of New York Medical College (1984).

NPPES Registry Identity

NPI1528067733

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameHANY M OGHIACredential: MD

Location Address200 MEDICAL CENTER DRHazard, KY 41701-9466

Mailing Address200 Medical Center DrHazard, KY 41701-9466 · (606) 487-7510 · Fax (606) 439-6793

Phone(606) 487-7510

Fax(606) 439-6793

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 1984

Enumeration DateJuly 19, 2005

Last NPPES UpdateJuly 31, 2026

NPPES CertifiedJuly 31, 2026

✔ NPI 1528067733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in KY · 25492

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

200 MEDICAL CENTER DR, Hazard, KY 41701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Hany M Oghia 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 ID1153360409

PECOS Enrollment IDI20050427000322

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

Medicare enrollment records show Hany Oghia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Regional Healthcare Inc

Same address

Psychiatry

200 MEDICAL CENTER DR STE 1J
Hazard, KY 41701

Reassigned Medicare billing, Kentucky enrollment
419 clinicians in this Medicare group

NPI 1164947099 (606) 435-7200

Arh Mary Breckinridge Health Services, Inc.

11 mi

Rural Health

130 KATE IRELAND DR
Hyden, KY 41749

Reassigned Medicare billing, Kentucky enrollment
40 clinicians in this Medicare group

NPI 1073898102 (606) 672-2901

Mountain Family Practice Clinic Of Manchester Inc

31 mi

Rural Health

108 MANCHESTER SQ SHOPPING CENTER
Manchester, KY 40962

Reassigned Medicare billing, Kentucky enrollment
42 clinicians in this Medicare group

NPI 1689919078 (606) 596-0701

Arh Tug Valley Health Services, Inc.

34 mi

Multi-Specialty

787 PARKWAY DR
Salyersville, KY 41465

Reassigned Medicare billing, Kentucky enrollment
242 clinicians in this Medicare group

NPI 1942962105 (606) 349-3511

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

26 services25 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

19 services15 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.

17 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180002

Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County

Emergency services Birthing friendly

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180029

Location100 Medical Center DriveHazard, KY 41701 · Perry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41701 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

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.

97.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.55

Promoting Interoperability

100

Improvement Activities

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.

C KRISHNASWAMY MD PSC

Psychiatry & Neurology (Neurology)

200 MEDICAL CENTER DR, SUITE 3P
HAZARD, KY 41701

Perry County (606) 487-7955

SYDNEY ROARK APRN

Nurse Practitioner

200 MEDICAL CENTER DR
HAZARD, KY 41701

Perry County (606) 439-3952

DR. WILLIAM BURLIN GIBSON D.M.D.

Dentist (Oral and Maxillofacial Surgery)

200 MEDICAL CENTER DR, SUITE 2-O
HAZARD, KY 41701

Perry County (606) 487-0088

HAZARD RADIOLOGY ASSOCIATES INC.

Radiology (Diagnostic Radiology)

200 MEDICAL CENTER DR, SUITE 1-N
HAZARD, KY 41701

Perry County (606) 439-5057

BIGHNESH SATPATHY M.D.

Radiology (Vascular & Interventional Radiology)

200 MEDICAL CENTER DR
HAZARD, KY 41701

Perry County (606) 439-5057

VIDYA B YALAMANCHI MD

Internal Medicine (Cardiovascular Disease)

200 MEDICAL CENTER DR
HAZARD, KY 41701

Perry County (606) 487-7510

FRANK DANIEL MONGIARDO M.D. P.S.C

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

200 MEDICAL CENTER DR, SUITE 2N
HAZARD, KY 41701

Perry County (606) 439-4466

DR. SAMUEL DEAN BAILEY M.D.

Internal Medicine (Hematology & Oncology)

200 MEDICAL CENTER DR
HAZARD, KY 41701

Perry County (606) 487-7902

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 Hany Oghia's NPI number?

The NPI number for Hany Oghia is 1528067733. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Hany Oghia located?

Hany Oghia practices at 200 Medical Center Dr, Hazard, KY 41701. The listed phone number is (606) 487-7510.

What is Hany Oghia's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Hany Oghia enrolled in Medicare?

Yes. Hany Oghia 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 Hany Oghia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hany Oghia reassigns Medicare benefits to 4 organizations: Appalachian Regional Healthcare Inc (Hazard, KY), Arh Mary Breckinridge Health Services, Inc. (Hyden, KY), Mountain Family Practice Clinic Of Manchester Inc (Manchester, KY) and Arh Tug Valley Health Services, Inc. (Salyersville, KY). 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 Hany Oghia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hany Oghia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Hany Oghia 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 Hany Oghia affiliated with any hospitals?

According to CMS data, Hany Oghia is affiliated with Whitesburg Arh Hospital and Hazard Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Hany Oghia was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.