OSARENOMASE EGHAREVBA (M.D.) – Internal Medicine Physician, NPI 1083913230

OSARENOMASE EGHAREVBA (M.D.) is a healthcare provider. based in Lithonia, Georgia. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. 78620 (GA). The NPI Number for OSARENOMASE EGHAREVBA (M.D.) is 1083913230

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
OSARENOMASE EGHAREVBA (M.D.)
NPI
1083913230
Phone
(404) 501-8492
Address
2801 DEKALB MEDICAL PKWY
Enumeration Date
26 March 2011
Last Update Date
23 December 2022

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7709183000
Graduation Year
2011 (15 years ago)
PAC ID
8527284520
Group Practice PAC ID
1951299163
Professional Enrollment ID
I20171221001338
Address ID
GA300123877CO1412XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for OSARENOMASE EGHAREVBA (M.D.)

  • 2801 DEKALB MEDICAL PKWY

    LITHONIA, GA 300584996

    Phone: (404) 501-8492

    Type: Location

  • 2801 Dekalb Medical Pkwy

    Lithonia, GA 300584996

    Phone: (404) 501-8492

    Type: Location

  • 1412 MILSTEAD AVE NE

    CONYERS, GA 300123877

    Phone: (770) 918-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $453.

Total Amount is formed as General ($453) + Research ($0) + Ownership ($0) = $453.

Last reported payment date: 2024-08-08 • Largest payer in this snapshot: ABBVIE INC. ($120).

Total Amount

$453

General + Research + Ownership

Payments

20

Total payment records

General Amount

$453

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-08

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: 2017-12-21

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
I20171221001338IInternal MedicineGATBD

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 minutes14993$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10262$0
99239Hospital discharge day management, more than 30 minutes8888$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6564$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2719$0
View full utilization report →

Insurance plans in this area (ZIP 30058)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951299163View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Internal MedicineGA
H O S P I T A L I S TGA
Internal MedicineGA
Internal MedicineGA
Hospitalist, Internal MedicineIN
N E U R O L O G YGA
Nurse PractitionerGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What is OSARENOMASE EGHAREVBA (M.D.)'s NPI number?
OSARENOMASE EGHAREVBA (M.D.)'s NPI is 1083913230 — the number used across U.S. healthcare to identify this provider.
Is OSARENOMASE EGHAREVBA (M.D.) still an active registrant?
OSARENOMASE EGHAREVBA (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with OSARENOMASE EGHAREVBA (M.D.)?
OSARENOMASE EGHAREVBA (M.D.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with OSARENOMASE EGHAREVBA (M.D.)?
Directory geography for OSARENOMASE EGHAREVBA (M.D.) centers on Lithonia, Georgia.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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