Individual provider Active NPI

Edesiri Akajagbor

  • Obstetrics & Gynecology Physician
  • Webster, TX
National Provider Identifier
1013301043
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
Q4885 Issued in TX
Practice address
15 Professional Park Dr
Webster, TX 77598-4123
Phone
(832) 632-1908
NPI assigned
Mar 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Q4885 TX Primary

Addresses

Primary practice location

15 Professional Park Dr
Webster, TX 77598-4123

Mailing address

15 Professional Park Dr
Webster, TX 77598-4123
Phone (832) 632-1908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190329002261 TX Practitioner - Obstetrics/Gynecology 2365783354 Reassigns benefits to 4 organizations
I20230629000537 LA Practitioner - Obstetrics/Gynecology 2365783354 Reassigns benefits to 2 organizations
I20240327000002 KY Practitioner - Obstetrics/Gynecology 2365783354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Specialists PLLCGroup PAC ID 1153656095, 3 clinicians

Practice addresses (Care Compare)

1834 Southmore Blvd
Houston, TX 77004-5947
Phone (914) 513-9988

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q4885TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
West Louisiana Health Services Inc Obstetrics & Gynecology CurrentSince Feb 14, 2023 Accepting new patients
Healthcare Specialists, PLLC Obstetrics & Gynecology CurrentSince Jun 1, 2019 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Obstetrics & Gynecology CurrentSince Dec 6, 2018 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Sep 26, 2023 Accepting new patients
Texas Children'S Physician Group CurrentSince Mar 3, 2025 Accepting new patients
Beauregard Women'S Health Center, LLC Obstetrics & Gynecology CurrentSince Feb 14, 2023 Accepting new patients
Community Medical Associates, Inc. Obstetrics & Gynecology CurrentSince Feb 3, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 3, 2024 Accepting new patients
Pediatric Consultants, P.a Past Accepting new patients
Questcare Obstetrics PLLC Obstetrics & Gynecology Past Accepting new patients
Chca Clear Lake LP Past Accepting new patients
Medtruly Health LLC Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

601 S Floyd St
Ste 350
Louisville, KY 40202
Phone (502) 409-5600

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

601 S Floyd St
Ste 500
Louisville, KY 40202
Phone (502) 458-6089

601 S Floyd St
Ste 300
Louisville, KY 40202
Phone (502) 629-1515

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

206 W 5th St
Deridder, LA 70634
Phone (337) 462-7106

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

1834 Southmore Blvd
Houston, TX 77004
Phone (914) 513-9988

1531 Highway 90 a
#200
Missouri City, TX 77489
Phone (281) 393-4040

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

6807 Emmett F Lowry Expy
Ste 304
Texas City, TX 77591
Phone (409) 935-8755

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

205 E Medical Center Blvd
Webster, TX 77598
Phone (281) 218-7251

15 Professional Park Dr
Webster, TX 77598
Phone (281) 332-1559

205 E Medical Center Blvd
Ste B
Webster, TX 77598
Phone (281) 480-7832

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1013301043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PROFESSIONAL PARK DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984123",
            "telephone_number": "832-632-1908",
            "fax_number": "409-241-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PROFESSIONAL PARK DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984123",
            "telephone_number": "832-632-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKAJAGBOR",
        "first_name": "EDESIRI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "Q4885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.