ETAGBO OQUA ETA (M.D) – Nephrology Physician, NPI 1487974630

ETAGBO OQUA ETA (M.D) is a healthcare provider. based in Rainbow city, Alabama. specializing in NEPHROLOGY, HOSPITALIST. They hold the professional credentials M.D. They hold a License No. MD.35051 (AL). The NPI Number for ETAGBO OQUA ETA (M.D) is 1487974630

Main info

Male
20 Years Of Experience
Name
ETAGBO OQUA ETA (M.D)
NPI
1487974630
Phone
(256) 203-4713
Address
PO BOX 7190
Enumeration Date
9 June 2010
Last Update Date
5 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562034713
Graduation Year
2006 (20 years ago)
PAC ID
9931343241
Professional Enrollment ID
I20170308001133
Address ID
AL359015108GA406XXSTXX300

Contacts

Other Endpoint
https://health.usnews.com/doctors/etagbo-eta-820655
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

1,241 NEPHROLOGY in NY

Provider Addresses for ETAGBO OQUA ETA (M.D)

  • PO BOX 7190

    RAINBOW CITY, AL 359067190

    Phone: (256) 203-4713

    Type: Mailing

  • 4802 10th Ave

    Brooklyn, NY 112192916

    Phone: (718) 283-6000

    Type: Location

  • 810 Saint Vincents Dr

    Birmingham, AL 352051601

    Phone: (205) 930-2456

    Fax: (205) 930-2469

    Type: Location

  • 311 S 4TH ST

    GADSDEN, AL 359015212

    Phone: (256) 543-0989

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $317.

Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($75).

Total Amount

$317

General + Research + Ownership

Payments

14

Total payment records

General Amount

$317

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170308001133INephrologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes725176$0
99214Established patient office or other outpatient visit, 30-39 minutes451198$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes41253$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days37653$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes305117$0
View full utilization report →

Insurance plans in this area (ZIP 35906)

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Reviews

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Frequently asked questions

What is ETAGBO OQUA ETA (M.D)'s NPI number?
ETAGBO OQUA ETA (M.D)'s NPI is 1487974630 — the number used across U.S. healthcare to identify this provider.
Is ETAGBO OQUA ETA (M.D) shown as active in public data?
Registry records indicate ETAGBO OQUA ETA (M.D) maintains an active NPI.
What area of care is associated with ETAGBO OQUA ETA (M.D)?
ETAGBO OQUA ETA (M.D)'s record emphasizes Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where in Alabama is ETAGBO OQUA ETA (M.D) registered?
Use Rainbow City, Alabama as the headline location for ETAGBO OQUA ETA (M.D) here.
When was this NPI issued?
Enumeration for ETAGBO OQUA ETA (M.D) is noted as June 9, 2010 where the registry provides it.

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