OSAZE BATHOLOMEW IBHAWA
NPI 1710712120
Counselor - Mental Health in Jamestown, NY

Active since September 05, 2024PECOS EnrolledAccepts Medicare Assignment
779 FAIRMOUNT AVE, JAMESTOWN, NY 14701(347) 781-4214 Get Directions Write a Review

NPPES record last updated: October 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Osaze Batholomew Ibhawa NPPES

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

OSAZE BATHOLOMEW IBHAWA (NPI 1710712120) is an individual mental health provider in Jamestown, New York, licensed in New York (014352) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710712120
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameOSAZE BATHOLOMEW IBHAWA
Location Address779 FAIRMOUNT AVEJamestown, NY 14701-2608
Mailing Address779 Fairmount AveJamestown, NY 14701-2608 · (716) 322-9088
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 5, 2024
Last NPPES UpdateOctober 26, 2024
NPPES CertifiedOctober 26, 2024
✔ NPI 1710712120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 014352
779 FAIRMOUNT AVE, Jamestown, NY 14701

Accepted 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

Osaze Batholomew Ibhawa 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 ID7416487921
PECOS Enrollment IDI20250217002183
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 Osaze Ibhawa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
779 FAIRMOUNT AVE
Jamestown, NY 14701
  • Reassigned Medicare billing, New York enrollment
  • 3 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 8

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Nurse Practitioner (Psychiatric/Mental Health)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Specialist
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Social Worker (Clinical)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Optometrist
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Clinic/Center (Radiology)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Nurse Practitioner (Psychiatric/Mental Health)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Radiology (Diagnostic Radiology)
779 FAIRMOUNT AVE, 4TH FLOOR, SUITE 401
JAMESTOWN, NY 14701

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 Osaze Ibhawa's NPI number?

The NPI number for Osaze Ibhawa is 1710712120. It was assigned to this individual provider in the NPPES registry on September 5, 2024.

Where is Osaze Ibhawa located?

Osaze Ibhawa practices at 779 Fairmount Ave, Jamestown, NY 14701. The listed phone number is (347) 781-4214.

What is Osaze Ibhawa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Osaze Ibhawa enrolled in Medicare?

Yes. Osaze Ibhawa 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 organization bills Medicare for Osaze Ibhawa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Osaze Ibhawa reassigns Medicare benefits to Urban Mental Health Counseling Services PLLC (Jamestown, NY). 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 Osaze Ibhawa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Osaze Ibhawa accept?

Health plans from Oscar Health list Osaze Ibhawa 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.

When was this NPI record last updated?

The NPPES record for Osaze Ibhawa was last updated on October 26, 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.