DR. ONYINYE UGBOAJA MD
NPI 1801158167
Hospitalist in Sumter, SC
About Dr. Onyinye Ugboaja Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ONYINYE UGBOAJA MD (NPI 1801158167) is an individual hospitalist provider in Sumter, South Carolina, licensed in South Carolina (37716) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and maintains a secondary practice location in Greenville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Onyinye Ugboaja 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.
Medicare Billing Reassignments
8Medicare enrollment records show Onyinye Ugboaja reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sumter, SC 29150
- Reassigned Medicare billing, South Carolina enrollment
- 1,466 clinicians in this Medicare group
Orangeburg, SC 29118
- Reassigned Medicare billing, South Carolina enrollment
- 94 clinicians in this Medicare group
Aiken, SC 29801
- Reassigned Medicare billing, South Carolina enrollment
- 117 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 529 clinicians in this Medicare group
Macon, GA 31210
- Reassigned Medicare billing, South Carolina enrollment
- 268 clinicians in this Medicare group
Beaumont, TX 77702
- Reassigned Medicare billing, Texas enrollment
- 103 clinicians in this Medicare group
Austin, TX 78758
- Reassigned Medicare billing, Texas enrollment
- 1,188 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 681 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Southeast Texas- St Elizabeth
Acute Care Hospitals · Beaumont, TXMethodist Hospital
Acute Care Hospitals · San Antonio, TXMethodist Hospital Stone Oak
Acute Care Hospitals · San Antonio, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SUMTER, SC 29150
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 Onyinye Ugboaja's NPI number?
The NPI number for Onyinye Ugboaja is 1801158167. It was assigned to this individual provider in the NPPES registry on June 13, 2012.
Where is Onyinye Ugboaja located?
Onyinye Ugboaja practices at 129 N Washington St, Sumter, SC 29150. The listed phone number is (803) 774-9680.
What is Onyinye Ugboaja's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Onyinye Ugboaja enrolled in Medicare?
Yes. Onyinye Ugboaja 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 organizations bill Medicare for Onyinye Ugboaja's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Onyinye Ugboaja reassigns Medicare benefits to 8 organizations: Prisma Health Medical Group-Midlands (Sumter, SC), The Regional Medical Center Of Orangeburg And Calhoun Counties (Orangeburg, SC), Sound Physicians Of South Carolina, LLC (Aiken, SC), Southeastern Hospitalist Services PC (Myrtle Beach, SC), Cogent Healthcare Of Georgia PC (Macon, GA) and 3 more organizations, listed in the Medicare section above. Each 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 Onyinye Ugboaja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Onyinye Ugboaja accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Harbor Health, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer list Onyinye Ugboaja 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.
Is Onyinye Ugboaja affiliated with any hospitals?
According to CMS data, Onyinye Ugboaja is affiliated with Christus Southeast Texas- St Elizabeth, Methodist Hospital and Methodist Hospital Stone Oak.
When was this NPI record last updated?
The NPPES record for Onyinye Ugboaja was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Onyinye Ugboaja, MD · NPI 1801158167
Hospitalist physician in Sumter, South Carolina. Individual provider, active in the CMS NPPES registry since June 13, 2012.
## Identity
- **NPI:** 1801158167 (Entity type: Individual)
- **Enumerated:** June 13, 2012
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 37716 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 129 N WASHINGTON ST, Sumter, SC 29150-4949
- **Phone:** (803) 774-9680
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Prisma Health Medical Group-Midlands (NPI 1447749510, Sumter, SC); The Regional Medical Center Of Orangeburg And Calhoun Counties (NPI 1750713038, Orangeburg, SC); Sound Physicians Of South Carolina, LLC (NPI 1922428358, Aiken, SC); Southeastern Hospitalist Services PC (NPI 1003280108, Myrtle Beach, SC); Cogent Healthcare Of Georgia PC (NPI 1609827823, Macon, GA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** October 21, 2019
- **Other identifiers:** Medicaid 377167 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1801158167) · Data from the CMS NPPES public registry.