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BONAVENTURE I OGU
NPI 1659220069
Nurse Practitioner - Family in Chicago, IL

Active since January 27, 2026PECOS Enrolled
4554 N BROADWAY ST STE 218, CHICAGO, IL 60640(773) 554-2490 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2026, Feb 3, 2026, Jan 27, 2026 (3 updates tracked since 2026).

About Bonaventure I Ogu NPPES

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

BONAVENTURE I OGU (NPI 1659220069) is an individual family provider in Chicago, Illinois, licensed in Illinois (2025086017) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1659220069
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBONAVENTURE I OGU
Location Address4554 N BROADWAY ST STE 218Chicago, IL 60640-5671
Mailing Address1906 Lee StEvanston, IL 60202-1537
Phone(773) 554-2490
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 27, 2026
Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1659220069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 2025086017
4554 N BROADWAY ST STE 218, Chicago, IL 60640
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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)

Bonaventure I Ogu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779050455
PECOS Enrollment IDI20260430001112
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 Bonaventure Ogu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
801 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 60640 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SERAPHIC HOME HEALTH LLC
Nursing Care
4554 N BROADWAY ST STE 218
CHICAGO, IL 60640
Cook County (773) 554-4700

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 Bonaventure Ogu's NPI number?

The NPI number for Bonaventure Ogu is 1659220069. It was assigned to this individual provider in the NPPES registry on January 27, 2026.

Where is Bonaventure Ogu located?

Bonaventure Ogu practices at 4554 N Broadway St Ste 218, Chicago, IL 60640. The listed phone number is (773) 554-2490.

What is Bonaventure Ogu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bonaventure Ogu enrolled in Medicare?

Yes. Bonaventure Ogu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bonaventure Ogu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bonaventure Ogu reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Bonaventure Ogu'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 Bonaventure Ogu was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.