MR. SEMA JUSTUS FOFUNG D.O.
NPI 1922155563
Specialist in Wauseon, OH

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
735 SOUTH SHOOP AVENUE, SUITE 3, WAUSEON, OH 43567(419) 335-6377(419) 335-6807 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Sema Justus Fofung D.o. NPPES

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

MR. SEMA JUSTUS FOFUNG D.O. (NPI 1922155563) is an individual specialist in Wauseon, Ohio, licensed in Ohio (34-007671) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Fulton County Health Center, and is a graduate of Chicago College Of Medicine And Surgery (1997).

NPPES Registry Identity

NPI1922155563
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. SEMA JUSTUS FOFUNGCredential: D.O.
Location Address735 SOUTH SHOOP AVENUE, SUITE 3Wauseon, OH 43567
Mailing Address735 South Shoop Avenue, Suite 3Wauseon, OH 43567 · (419) 335-6377 · Fax (419) 335-6807
Fax(419) 335-6807
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1997
Enumeration DateJanuary 5, 2007
Last NPPES UpdateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
✔ NPI 1922155563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in OH · 34-007671✔ Licensed in OH · 34007671
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 34.007671 (OH)
735 SOUTH SHOOP AVENUE, Wauseon, OH 43567

Other Identifiers 1

Medicaid2317479OH

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

Mr. Sema Justus Fofung D.o. 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 ID8921009671
PECOS Enrollment IDI20070123000319
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 Sema Fofung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
725 S SHOOP AVE
Wauseon, OH 43567
  • Reassigned Medicare billing, Ohio enrollment
  • 65 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.

Hospital Affiliations CMS Care Compare

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

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361333
Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County
Emergency services Birthing friendly

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 Sema Fofung's NPI number?

The NPI number for Sema Fofung is 1922155563. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Sema Fofung located?

Sema Fofung practices at 735 South Shoop Avenue Suite 3, Wauseon, OH 43567. The listed phone number is (419) 335-6377.

What is Sema Fofung's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sema Fofung enrolled in Medicare?

Yes. Sema Fofung 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 organization bills Medicare for Sema Fofung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sema Fofung reassigns Medicare benefits to Fchc Medical Care, LLC (Wauseon, OH). 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 Sema Fofung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sema Fofung accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 1 other insurer list Sema Fofung 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 Sema Fofung affiliated with any hospitals?

According to CMS data, Sema Fofung is affiliated with Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for Sema Fofung was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.