Individual provider Active NPI

Chioma Udemgba, M.D.

  • Allergy & Immunology Physician
  • San Antonio, TX
National Provider Identifier
1003279399
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
U8015 Issued in TX
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

Updated by the provider on Apr 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 20674 ND
Internal Medicine Physician 207R00000X MD048479 DC
Internal Medicine Physician 207R00000X U8015 TX
Pediatrics Physician 208000000X U8015 TX
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211007001170 DC Practitioner - Internal Medicine 8426340662 Reassigns benefits to 1 organization
I20240423001136 TX Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 8426340662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Duke University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians

Practice addresses (Care Compare)

2121 SW 36TH St
San Antonio, TX 78237-3360
Phone (210) 358-5100

Hospital & facility affiliations

  • University Health System Hospital, San Antonio, TX, CCN 450213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20674NDMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Healthcare PC Multi-Specialty CurrentSince Jul 2, 2021 Accepting new patients
Elite Med Multi-Specialty Current Accepting new patients
Community Medicine Associates Multi-Specialty CurrentSince Apr 12, 2024 Accepting new patients
Comprehensive Primary Care and Associates LLC Multi-Specialty PastSince Jul 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.