CHISOM OGOCHUKWU ASHLEY AGBIM MD
NPI 1740675529
Pediatrics - Pediatric Emergency Medicine in Stanford, CA

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
300 PASTEUR DR, STANFORD, CA 94305(650) 723-4000 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2021, Apr 22, 2019, Sep 14, 2018 (3 updates tracked since 2018).

About Chisom Ogochukwu Ashley Agbim Md NPPES

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

CHISOM OGOCHUKWU ASHLEY AGBIM MD (NPI 1740675529) is an individual pediatric emergency medicine provider in Stanford, California, licensed in California (A144709) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Colorado School Of Medicine, Aurora (2015).

NPPES Registry Identity

NPI1740675529
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameCHISOM OGOCHUKWU ASHLEY AGBIMCredential: MD
Location Address300 PASTEUR DRStanford, CA 94305-2200
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-4000
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2015
Enumeration DateMarch 30, 2015
Last NPPES UpdateMarch 14, 20243 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
NPI 1740675529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses Licensed in CA · A144709 Licensed in CO · DR.0065890 Licensed in DC · MD046104
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License A144709 (CA)
300 PASTEUR DR, Stanford, CA 94305

Secondary Practice Locations 3

Location 113123 E 16th AveAurora, CO 80045-7106 · Phone (720) 777-1234
Location 2725 Welch RdPalo Alto, CA 94304-1601 · Phone (650) 497-8000
Location 3111 Michigan Ave NWWashington, DC 20010-2916 · Phone (202) 476-4177

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Chisom Ogochukwu Ashley Agbim 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 ID8325381460
PECOS Enrollment IDI20231005001335
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 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305

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 Chisom Agbim's NPI number?

The NPI number for Chisom Agbim is 1740675529. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Chisom Agbim located?

Chisom Agbim practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.

What is Chisom Agbim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Chisom Agbim enrolled in Medicare?

Yes. Chisom Agbim 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.

What insurance does Chisom Agbim accept?

Health plans from Medica list Chisom Agbim 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 Chisom Agbim was last updated on March 14, 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.