OSEMWINGIE AGHEDO MD
NPI 1942786785
Internal Medicine in Elizabeth, NJ

Active since July 16, 2018PECOS EnrolledAccepts Medicare Assignment
92.67/100
CMS Quality Rating
225 WILLIAMSON ST, ELIZABETH, NJ 07202(908) 994-5000 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 4, 2019, Jul 16, 2018 (2 updates tracked since 2018).

About Osemwingie Aghedo Md NPPES

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

OSEMWINGIE AGHEDO MD (NPI 1942786785) is an individual internal medicine provider in Elizabeth, New Jersey, licensed in Nevada (19233) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1942786785
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOSEMWINGIE AGHEDOCredential: MD
Location Address225 WILLIAMSON STElizabeth, NJ 07202-3625
Mailing Address6040 S Fort Apache Rd, Ste 100Las Vegas, NV 89148-5613
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 16, 2018
Last NPPES UpdateDecember 4, 20192 updates tracked since enumeration
NPI 1942786785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NV · 19233
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
225 WILLIAMSON ST, Elizabeth, NJ 07202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Osemwingie Aghedo 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.

PECOS PAC ID6709210784
PECOS Enrollment IDI20191227001947
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,234 services390 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
157 services156 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
94 services93 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
47 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services23 patients

Hospital Affiliations CMS Care Compare

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

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290003
Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07202 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

92.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities0
Cost92.24

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$20.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Emergency Medicine
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Psychiatry & Neurology (Psychiatry)
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Anesthesiology
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Hospitalist
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Student in an Organized Health Care Education/Training Program
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Student in an Organized Health Care Education/Training Program
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Student in an Organized Health Care Education/Training Program
225 WILLIAMSON ST
ELIZABETH, NJ 07202

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 Osemwingie Aghedo's NPI number?

The NPI number for Osemwingie Aghedo is 1942786785. It was assigned to this individual provider in the NPPES registry on July 16, 2018.

Where is Osemwingie Aghedo located?

Osemwingie Aghedo practices at 225 Williamson St, Elizabeth, NJ 07202. The listed phone number is (908) 994-5000.

What is Osemwingie Aghedo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Osemwingie Aghedo enrolled in Medicare?

Yes. Osemwingie Aghedo 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.

What insurance does Osemwingie Aghedo accept?

Health plans from Ambetter from Arizona Complete Health list Osemwingie Aghedo 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 Osemwingie Aghedo affiliated with any hospitals?

According to CMS data, Osemwingie Aghedo is affiliated with Sunrise Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Osemwingie Aghedo was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.