Active NPI
Chioma Udemgba, M.D.
- Allergy & Immunology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- U8015
- Practice address
- 5282 Medical Dr Ste 240
San Antonio, TX 78229-4849 - Phone
- (210) 644-2100
- NPI assigned
- Apr 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 20674 | ND | |
| Internal Medicine Physician | 207R00000X | MD048479 | DC | |
| Internal Medicine Physician | 207R00000X | U8015 | TX | |
| Pediatrics Physician | 208000000X | U8015 | TX | |
| Pediatrics Physician | 208000000X | MD048479 | DC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Allergy & Immunology Physician | 207K00000X | U8015 | TX | Primary |
Addresses
Primary practice location
5282 Medical Dr Ste 240
San Antonio, TX 78229-4849
Mailing address
1430 Tulane Ave # SL-50
New Orleans, LA 70112-2632
Phone (504) 988-1332
Other practice location 1
1430 Tulane Ave # SL-50
New Orleans, LA 70112-2632
Phone (504) 988-1332
Other practice location 2
4167 Merchant Plz
Woodbridge, VA 22192-5088
Phone (703) 878-8800
Other practice location 3
315 H St NE Ste A
Washington, DC 20002-7180
Phone (202) 975-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Duke University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2121 SW 36TH St
San Antonio, TX 78237-3360
Phone (210) 358-5100
Hospital & facility affiliations
- University Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20674 | ND | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Healthcare PC | Multi-Specialty | Current | Accepting new patients |
| Elite Med | Multi-Specialty | Current | Accepting new patients |
| Community Medicine Associates | Multi-Specialty | Current | Accepting new patients |
| Comprehensive Primary Care and Associates LLC | Multi-Specialty | Past | Accepting new patients |
Locations
315 H St NE
Ste A
Washington, DC 20002
Phone (202) 975-0100
5282 Medical Dr
Ste 240
San Antonio, TX 78229
Phone (210) 358-8820
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
2121 SW 36th St
San Antonio, TX 78237
Phone (210) 358-5100
6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993
4167 Merchant Plz
Woodbridge, VA 22192
Phone (703) 878-8800
Interoperability endpoints
- cudemgba660226@uhssa.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
Multi-Specialty
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1831492586
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1821011248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1003279399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 TULANE AVE # SL-50",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122632",
"telephone_number": "504-988-1332",
"fax_number": "504-988-3971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5282 MEDICAL DR STE 240",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294849",
"telephone_number": "210-644-2100"
}
],
"practiceLocations": [
{
"address_1": "1430 Tulane Ave # SL-50",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701122632",
"country_code": "US",
"telephone_number": "504-988-1332",
"fax_number": "504-988-3971",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4167 Merchant Plz",
"address_purpose": "LOCATION",
"city": "Woodbridge",
"state": "VA",
"postal_code": "221925088",
"country_code": "US",
"telephone_number": "703-878-8800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 H St NE Ste A",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200027180",
"country_code": "US",
"telephone_number": "202-975-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UDEMGBA",
"first_name": "CHIOMA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "ND",
"license": "20674",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "MD048479",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "U8015",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "U8015",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "DC",
"license": "MD048479",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "U8015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.