Dr Kim Chiedozi Ohaegbulam, MD, PHD - Medicare General Practice in Forest Hills, NY

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Dr Kim Chiedozi Ohaegbulam, MD, PHD is a medicare enrolled "General Practice" physician in Forest Hills, New York. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 2019 and has 7 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc and his current practice location is 102-01 66th Rd, Department Of Medicine, Forest Hills, New York. You can reach out to his office (for appointments etc.) via phone at (718) 830-4000.

Dr Kim Chiedozi Ohaegbulam is licensed to practice in Virginia (license number 0101277423) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326508409.

Contact Information

Dr Kim Chiedozi Ohaegbulam, MD, PHD
102-01 66th Rd, Department Of Medicine,
Forest Hills, NY 11375
(718) 830-4000
Not Available

Map and Direction




Physician's Profile

Full NameDr Kim Chiedozi Ohaegbulam
GenderMale
SpecialityGeneral Practice
Experience7 Years
Location102-01 66th Rd, Forest Hills, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kim Chiedozi Ohaegbulam attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2019
  NPI Data:
  • NPI Number: 1326508409
  • Provider Enumeration Date: 03/23/2019
  • Last Update Date: 07/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0547684961
  • Enrollment ID: I20230327000771

Medical Identifiers

Medical identifiers for Dr Kim Chiedozi Ohaegbulam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326508409NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 0101277423 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc37794958581964

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kim Chiedozi Ohaegbulam allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043378656
PECOS PAC ID: 3779495858
Enrollment ID: O20080519000558
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1942546486
PECOS PAC ID: 3779495858
Enrollment ID: O20141111002041
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191003001442
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1457023616
PECOS PAC ID: 3779495858
Enrollment ID: O20220105001262

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kim Chiedozi Ohaegbulam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kim Chiedozi Ohaegbulam, MD, PHD
102-01 66th Rd, Department Of Medicine,
Forest Hills, NY 11375

Ph: (718) 830-4000		Dr Kim Chiedozi Ohaegbulam, MD, PHD
102-01 66th Rd, Department Of Medicine,
Forest Hills, NY 11375

Ph: (718) 830-4000

Reviews and Comments


General Practice Doctors in Forest Hills, NY

Dr. Sunil C Patel, M.D.
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Practice Location: 6860 Austin St, Suite 402, Forest Hills, NY 11375
Phone: 718-925-6200    Fax: 718-925-6210
Dr. Ilya Y Burshteyn, MD
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Practice Location: 10525 64th Ave, Forest Hills, NY 11375
Phone: 718-459-3494    Fax: 718-606-6069
Dr. Ugonna Robert Azode, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 6970 Grand Central Pkwy, Forest Hills, NY 11375
Phone: 469-473-9627    
Dr. Walter Andrew Medina Sr., D.O.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 6370 110th St, Forest Hills, NY 11375
Phone: 718-833-8052    Fax: 718-833-8968
Rauf Baamisor Babilsie, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 6970 Grand Central Pkwy, Forest Hills, NY 11375
Phone: 718-263-4600    
Dr. Hoorbod Delshadfar,
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 6902 Austin St 2, Forest Hills, NY 11375
Phone: 718-793-6800    Fax: 347-392-4179

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.