DR. NGOZI OKOBA (M.D) – Nephrology Physician, NPI 1679990360

DR. NGOZI OKOBA (M.D) is a healthcare provider. based in Boston, Massachusetts. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. S103 (TX). The NPI Number for DR. NGOZI OKOBA (M.D) is 1679990360

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. NGOZI OKOBA (M.D)
NPI
1679990360
Phone
(610) 644-8900
Address
PO BOX 412880
Enumeration Date
20 March 2014
Last Update Date
14 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9566008899
Graduation Year
2014 (12 years ago)
PAC ID
2163795212
Group Practice PAC ID
7517354921
Professional Enrollment ID
I20190813000089
Address ID
TX785729108MI1203XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

1,168 NEPHROLOGY in TX

Provider Addresses for DR. NGOZI OKOBA (M.D)

  • PO BOX 412880

    BOSTON, MA 022412880

    Phone: (610) 644-8900

    Fax: (484) 924-0053

    Type: Mailing

  • 942 Wildrose Ln

    Brownsville, TX 785208817

    Phone: (240) 837-3293

    Type: Location

  • 942 WILDROSE LN

    BROWNSVILLE, TX 785208817

    Phone: (240) 837-3293

    Type: Mailing

  • 8015 N EXPRESSWAY 77

    OLMITO, TX 785755171

    Phone: (956) 982-4484

    Fax: (956) 982-4489

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Medtronic, Inc. ($156).

Total Amount

$156

General + Research + Ownership

Payments

3

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$156
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: 2019-08-13

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
I20190813000089INephrologyTXTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml15,571309$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes417227$0
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist319195$0
75710Review by radiologist of arm or leg artery image308165$0
36215Insertion of tube into chest or arm artery, each first order branch297161$0
View full utilization report →

Insurance plans in this area (ZIP 02241)

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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: 7517354921View full group profile
NameSpecialtyState
Interventional RadiologyTX
N E P H R O L O G YTX
Nephrology, Internal MedicineTX

Reviews

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Frequently asked questions

What is the standard ID for DR. NGOZI OKOBA (M.D) in the U.S.?
In the U.S., DR. NGOZI OKOBA (M.D) is identified by NPI 1679990360.
Should I treat DR. NGOZI OKOBA (M.D) as an active provider?
Patients and plans typically see DR. NGOZI OKOBA (M.D) as active in the national extract.
What services align with DR. NGOZI OKOBA (M.D)'s listing?
DR. NGOZI OKOBA (M.D)'s public classification highlights Nephrology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. NGOZI OKOBA (M.D) in Boston, Massachusetts?
For routing, start with Boston, Massachusetts for DR. NGOZI OKOBA (M.D), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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