DONNA C UGBOAJA (MD) – Family Medicine Physician, NPI 1588227417

DONNA C UGBOAJA (MD) is a healthcare provider. based in Saint paul, Minnesota. specializing in FAMILY PRACTICE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 291123 (MA). The NPI Number for DONNA C UGBOAJA (MD) is 1588227417

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DONNA C UGBOAJA (MD)
NPI
1588227417
Phone
(651) 227-6551
Address
580 RICE ST
Enumeration Date
16 April 2019
Last Update Date
30 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
6177262000
Graduation Year
2019 (7 years ago)
PAC ID
6204269426
Group Practice PAC ID
6507803806
Professional Enrollment ID
I20231207002970
Address ID
MA021142621BO55XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

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Provider Addresses for DONNA C UGBOAJA (MD)

  • Bethesda Family Practice, 580, Rice Street, Saint Paul, Ramsey County, Minnesota, 55126, United States

    SAINT PAUL, MN 551032148

    Phone: (651) 227-6551

    Type: Mailing

  • 151 Everett Ave

    Chelsea, MA 021501812

    Phone: (617) 884-8300

    Type: Location

  • 55 FRUIT ST

    AUSTEN 880

    BOSTON, MA 021142696

    Phone: (617) 726-7621

    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: 2023-12-07

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
I20231207002970IFamily PracticeMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55103)

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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: 6507803806View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Internal MedicineMA
-MA
-MA
Anesthesiology, Pain ManagementMA
-MA
Clinical PsychologistMA
Internal MedicineMA
Internal MedicineMA
-MA

Reviews

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Frequently asked questions

Is there an official ID for DONNA C UGBOAJA (MD) in U.S. healthcare records?
The official identifier for DONNA C UGBOAJA (MD) is NPI 1588227417.
Is there an active status for DONNA C UGBOAJA (MD)?
For scheduling context, DONNA C UGBOAJA (MD) is shown as active in the registry.
How would a patient describe DONNA C UGBOAJA (MD)'s focus?
For DONNA C UGBOAJA (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DONNA C UGBOAJA (MD) located near Saint Paul?
DONNA C UGBOAJA (MD) currently maps to Saint Paul, Minnesota in this extract.
Can I trust this NPI listing for DONNA C UGBOAJA (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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