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DR. OGHANIM IFEOMA OGWU MD
NPI 1740819804
Internal Medicine - Geriatric Medicine in Mansfield, TX

Active since April 02, 2020PECOS Enrolled
2700 E BROAD ST, MANSFIELD, TX 76063(682) 242-2000 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2026, Apr 2, 2020 (2 updates tracked since 2020).

About Dr. Oghanim Ifeoma Ogwu Md NPPES

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

DR. OGHANIM IFEOMA OGWU MD (NPI 1740819804) is an individual geriatric medicine provider in Mansfield, Texas, licensed in Texas (V9681) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740819804
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameDR. OGHANIM IFEOMA OGWUCredential: MD
Location Address2700 E BROAD STMansfield, TX 76063-5899
Mailing Address2700 E Broad StMansfield, TX 76063-5899 · (682) 242-2000
Phone(682) 242-2000
Sole ProprietorNo
Enumeration DateApril 2, 2020
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1740819804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in TX · V9681
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License 58442 (KY), TP722 (KY)
2700 E BROAD ST, Mansfield, TX 76063
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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)

Dr. Oghanim Ifeoma Ogwu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Oghanim Ogwu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pmr Ky Holding, LLC
1,115 mi
Specialist
1395 NW 167TH ST
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Kentucky enrollment
  • 45 clinicians in this Medicare group
NPI 1740737709 (305) 831-4760

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 76063 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
$171.07 typical visit price
range $56.47 – $171.07
Typical copayment $42.76 (range $14.11 – $42.76)
Most-billed visit code 99205
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

GRETCHEN M BURES MD
Internal Medicine
2700 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (682) 242-2000
MR. ANKIT R PARIKH ARNP
Nurse Practitioner
2700 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (682) 242-2000
HIRAL VISHAL THAKKAR DO
Internal Medicine
2700 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (682) 242-2000
HYWEL SONEY DO
Internal Medicine
2700 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (682) 242-2000
NATASHA CABALLERO D.O.
Internal Medicine
2700 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (682) 532-6470
SADO SUHAIL ALBITAR M.D.
Internal Medicine
2700 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (682) 242-2000
HOSPITALIST PARTNERS OF EXCELLENCE IN MANSFIELD (H.O.P.E), PA
Hospitalist
2700 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (682) 622-2000
ARLINGTON PHYSICIAN SERVICES PA
Obstetrics & Gynecology
2700 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (682) 242-2000

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 Oghanim Ogwu's NPI number?

The NPI number for Oghanim Ogwu is 1740819804. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Oghanim Ogwu located?

Oghanim Ogwu practices at 2700 E Broad St, Mansfield, TX 76063. The listed phone number is (682) 242-2000.

What is Oghanim Ogwu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Oghanim Ogwu enrolled in Medicare?

Yes. Oghanim Ogwu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Oghanim Ogwu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oghanim Ogwu reassigns Medicare benefits to Pmr Ky Holding, LLC (Miami Gardens, FL). 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 Oghanim Ogwu'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 Oghanim Ogwu was last updated on July 17, 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.