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MARTHA KERUBO OMBOGO
NPI 1871234435
Nurse Practitioner - Gerontology in Maryland Heights, MO

Active since April 06, 2022PECOS Enrolled
12272 CREVE COEUR RIDGE CT, MARYLAND HEIGHTS, MO 63043(816) 824-1447 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Martha Kerubo Ombogo NPPES

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

MARTHA KERUBO OMBOGO (NPI 1871234435) is an individual gerontology provider in Maryland Heights, Missouri, licensed in Missouri (2022012281) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871234435
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARTHA KERUBO OMBOGO
Location Address12272 CREVE COEUR RIDGE CTMaryland Heights, MO 63043-1213
Mailing Address12272 Creve Coeur Ridge CtMaryland Heights, MO 63043-1213 · (816) 824-1447
Phone(816) 824-1447
Sole ProprietorNo
Enumeration DateApril 6, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1871234435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MO · 2022012281
12272 CREVE COEUR RIDGE CT, Maryland Heights, MO 63043
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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)

Martha Kerubo Ombogo 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 Martha Ombogo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health, LLC
538 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Missouri enrollment
  • 412 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 63043 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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 Martha Ombogo's NPI number?

The NPI number for Martha Ombogo is 1871234435. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Martha Ombogo located?

Martha Ombogo practices at 12272 Creve Coeur Ridge Ct, Maryland Heights, MO 63043. The listed phone number is (816) 824-1447.

What is Martha Ombogo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Martha Ombogo enrolled in Medicare?

Yes. Martha Ombogo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Martha Ombogo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martha Ombogo reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Martha Ombogo'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 Martha Ombogo was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.