DR. OWHOFASA AGBEDIA M.D., MPH
NPI 1750769816
Internal Medicine - Hematology & Oncology in Alamosa, CO

Q: What is Owhofasa Agbedia's NPI number?

The NPI number for Owhofasa Agbedia is 1750769816. It was assigned to this individual provider in the NPPES registry on May 9, 2015.

Q: What is Owhofasa Agbedia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Owhofasa Agbedia was last updated on April 11, 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.

Active since May 09, 2015PECOS EnrolledAccepts Medicare Assignment

106 BLANCA AVE, ALAMOSA, CO 81101(719) 589-3000 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2024, Oct 10, 2023, Aug 17, 2018 (3 updates tracked since 2018).

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About Dr. Owhofasa Agbedia M.d., Mph NPPES

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

DR. OWHOFASA AGBEDIA M.D., MPH (NPI 1750769816) is an individual hematology & oncology provider in Alamosa, Colorado, licensed in Illinois (036-168299) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1750769816

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. OWHOFASA AGBEDIACredential: M.D., MPH

Location Address106 BLANCA AVEAlamosa, CO 81101-2340

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7226 · Fax (920) 445-7229

Phone(719) 589-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMay 9, 2015

Last NPPES UpdateApril 11, 20243 updates tracked since enumeration

NPPES CertifiedApril 11, 2024

✔ NPI 1750769816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in IL · 036-168299

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License 69590 (WI)

106 BLANCA AVE, Alamosa, CO 81101

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Secondary Practice Locations 3

Location 1Department Of Medicine Howard University, 2041 Georgia Avenue, NWWashington, DC 20060-2530 · Phone (202) 865-6100

Location 2744 S Webster AveGreen Bay, WI 54301 · Phone (920) 445-7226 · Fax (920) 445-7229

Location 3801 S Milwaukee AveLibertyville, IL 60048-3204 · Phone (847) 367-6781 · Fax (847) 367-8008

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Dr. Owhofasa Agbedia M.d., Mph 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 ID4880983840

PECOS Enrollment IDI20241030000487

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 Reassignments

Medicare enrollment records show Owhofasa Agbedia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc

1,035 mi

Family Medicine

405 COMMERCIAL ST
Seymour, WI 54165

Reassigned Medicare billing, Wisconsin enrollment
875 clinicians in this Medicare group

NPI 1033171723 (920) 833-2318

Oconto Hospital & Medical Center Inc

1,046 mi

Rural Health

307 MANOR DR
Suring, WI 54174

Reassigned Medicare billing, Wisconsin enrollment
573 clinicians in this Medicare group

NPI 1104418037 (920) 842-2144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.

45 services42 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

43 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

24 services24 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140182

Location836 West Wellington AvenueChicago, IL 60657 · Cook County

Emergency services Birthing friendly

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520049

Location744 S Webster AveGreen Bay, WI 54305 · Brown County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81101 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

$174.82 typical visit price

range $58.06 – $174.82

Typical copayment $43.70 (range $14.51 – $43.70)

Most-billed visit code 99205

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

JOSHUA ARMSTRONG KOONTZ PHARMD

Pharmacist