MR. MARTIN OSEMWENGIE OVIASOGIE
NPI 1639695091
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY

Active since August 17, 2017PECOS Enrolled
1045 JAMES ST, SYRACUSE, NY 13203(315) 472-4471(315) 999-1377 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2025, Jun 5, 2025, Feb 20, 2025 and 6 more (9 updates tracked since 2017).

About Mr. Martin Osemwengie Oviasogie NPPES

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

MR. MARTIN OSEMWENGIE OVIASOGIE (NPI 1639695091) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (402562) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639695091
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. MARTIN OSEMWENGIE OVIASOGIE
Location Address1045 JAMES STSyracuse, NY 13203-2730
Mailing Address1033 James StSyracuse, NY 13203-2740 · (315) 472-4471 · Fax (315) 999-1377
Fax(315) 999-1377
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 17, 2017
Last NPPES UpdateNovember 19, 20259 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1639695091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in NY · 402562 Licensed in NY · F402562
Also ListedRegistered NurseTaxonomy 163W00000X · License 699520 (NY)
1045 JAMES ST, Syracuse, NY 13203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Martin Osemwengie Oviasogie is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224378427
PECOS Enrollment IDI20190326002249
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 4

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.

Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes 99422
This is a digital health service for existing patients. Over a week, your healthcare provider will assess and manage your health concerns online. The total time spent communicating will be between 11-20 minutes. This service offers convenience and continuous care.
51 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services20 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
28 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Social Worker (Clinical)
1045 JAMES ST
SYRACUSE, NY 13203
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Nurse Practitioner (Family)
1045 JAMES ST
SYRACUSE, NY 13203
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Licensed Practical Nurse
1045 JAMES ST
SYRACUSE, NY 13203
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Social Worker
1045 JAMES ST
SYRACUSE, NY 13203
Social Worker (Clinical)
1045 JAMES ST
SYRACUSE, NY 13203

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 Martin Oviasogie's NPI number?

The NPI number for Martin Oviasogie is 1639695091. It was assigned to this individual provider in the NPPES registry on August 17, 2017.

Where is Martin Oviasogie located?

Martin Oviasogie practices at 1045 James St, Syracuse, NY 13203. The listed phone number is (315) 472-4471.

What is Martin Oviasogie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Martin Oviasogie enrolled in Medicare?

Yes. Martin Oviasogie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Martin Oviasogie was last updated on November 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.