DR. KENNETH ONYEKWERE OFOHA (M.D.) – Emergency Medicine Physician, NPI 1154681567

DR. KENNETH ONYEKWERE OFOHA (M.D.) is a healthcare provider. based in Lawrenceville, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 68463 (GA). The NPI Number for DR. KENNETH ONYEKWERE OFOHA (M.D.) is 1154681567

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH ONYEKWERE OFOHA (M.D.)
NPI
1154681567
Phone
(678) 442-9486
Address
905 PARKSIDE WALK LN STE 100A
Enumeration Date
18 May 2012
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4789224281
Graduation Year
1987 (39 years ago)
PAC ID
5597903088
Group Practice PAC ID
2264663756
Professional Enrollment ID
I20130524000450
Address ID
GA310933431WA1601XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for DR. KENNETH ONYEKWERE OFOHA (M.D.)

  • 905 PARKSIDE WALK LN STE 100A

    LAWRENCEVILLE, GA 300437314

    Phone: (678) 442-9486

    Type: Location

  • PO BOX 492110

    LAWRENCEVILLE, GA 300490036

    Phone: (678) 442-9486

    Type: Mailing

  • 401 W PIKE ST

    SUITE A & B

    LAWRENCEVILLE, GA 300464845

    Phone: (678) 442-9486

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-05-24

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
I20130524000450IEmergency 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
99284Emergency department visit with moderate level of medical decision making6560$0
99285Emergency department visit with high level of medical decision making6058$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1817$0
View full utilization report →

Insurance plans in this area (ZIP 30043)

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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: 2264663756View full group profile
NameSpecialtyState
Nurse PractitionerGA
-CA
Nurse PractitionerGA
Nurse PractitionerGA
Internal MedicineGA
Emergency MedicineFL
Emergency MedicineGA
Emergency MedicineGA
Emergency MedicineGA
Internal MedicineGA

Reviews

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Frequently asked questions

Does DR. KENNETH ONYEKWERE OFOHA (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KENNETH ONYEKWERE OFOHA (M.D.) uses 1154681567.
Does the file indicate DR. KENNETH ONYEKWERE OFOHA (M.D.) is practicing under active NPI?
Directory data currently reports DR. KENNETH ONYEKWERE OFOHA (M.D.) as active.
What healthcare role does DR. KENNETH ONYEKWERE OFOHA (M.D.) hold?
Scheduling teams often label DR. KENNETH ONYEKWERE OFOHA (M.D.) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. KENNETH ONYEKWERE OFOHA (M.D.) serve?
DR. KENNETH ONYEKWERE OFOHA (M.D.)'s listing highlights Lawrenceville, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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