MR. OGBONNAYA E ANEZIOKORO (MD) – Nephrology Physician, NPI 1104831668
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
629 NEPHROLOGY in IL
Provider Addresses for MR. OGBONNAYA E ANEZIOKORO (MD)
2222 W DIVISION ST STE 210
CHICAGO, IL 606223094
Phone: (773) 227-2004
Fax: (773) 227-2006
Type: Location
Saint Anthony Hospital, 2875, West 19th Street, Bohemian California, South Lawndale, Chicago, Cook County, Illinois, 60623, United States
CHICAGO, IL 606233501
Phone: (773) 262-4556
Fax: (773) 521-1017
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $610.
Total Amount is formed as General ($610) + Research ($0) + Ownership ($0) = $610.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($295).
Total Amount
$610
General + Research + Ownership
Payments
26
Total payment records
General Amount
$610
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-09-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060911000457 | I | Nephrology | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 1,035 | 146 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 600 | 175 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 320 | 107 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 290 | 136 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 209 | 97 | $0 |
Insurance plans in this area (ZIP 60622)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | IL | |
| N E P H R O L O G Y | IL |
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