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Active NPI 1326508409 Individual Practitioner Male Practitioner

Dr. Kim Chiedozi Ohaegbulam , MD, PhD

General Practice • Forest Hills, NY

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Kim Ohaegbulam, MD, PhD is a registered General Practice practitioner in Forest Hills, NY. With approximately 7 years of clinical practice since graduating from Albert Einstein College Of Medicine Of Yeshiva University in 2019, Dr. Ohaegbulam provides healthcare services at the registered practice location at 102-01 66TH RD.

Dr. Ohaegbulam is affiliated with Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

102-01 66th Rd
Department Of Medicine

Forest Hills, NY 11375

Telephone 7188304000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Albert Einstein College Of Medicine Of Yeshiva University

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Forest Hills, NY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -18.8 yrs vs City Avg
City Avg: 25.8 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Forest Hills, NY (818 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ohaegbulam (7 Years) 7 Yrs
Forest Hills Specialty Average (25.8 Years) 25.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-07-23
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101277423

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

1701 Twin Springs Rd, Halethorpe, MD 212273553

Phone: 4107375000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013015395
Kerrin Nelson , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033717764

Nurse Practitioner

Ji Soo Moon , AG-ACNP

Nurse Practitioner - Acute Care

NPI 1043804255

Adult-Gerontology Acute Care Nurse Practitioner

Andrew Neploch , NP

Nurse Practitioner - Family

NPI 1083086961

Nurse Practitioner

Tova Berns , NP

Nurse Practitioner - Acute Care

NPI 1114408622

Nurse Practitioner

Faiga Begun , PA

Physician Assistant

NPI 1114763778

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2022

General Practice (License #0101277423 in VA)

NPI Profile Active March 23, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2019

Registered at 102-01 66TH RD, DEPARTMENT OF MEDICINE, FOREST HILLS, NY 11375 (Tel: 7188304000)

📍
Updated Business Mailing Address March 23, 2019

Registered at 102-01 66TH RD, DEPARTMENT OF MEDICINE, FOREST HILLS, NY 11375 (Tel: 7188304000)

👤
Provider Name / Credentials Updated March 23, 2019

Recorded as KIM OHAEGBULAM, MD, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 23, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326508409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2019
Last Update: July 23, 2024
Sole Proprietor: Yes

Mailing Address

102-01 66th Rd, Department Of Medicine

Forest Hills, NY 11375

Phone: 7188304000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.