Individual provider Active NPI

Agatha Ogechi Duru, AGNP

  • Gerontology Nurse Practitioner
  • Houston, TX
National Provider Identifier
1013579176
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP141767 Issued in TX
Practice address
9888 Bissonnet St Ste 160
Houston, TX 77036-8039
Phone
(713) 272-3780
Fax
(713) 272-3748
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP141767 TX Primary

Addresses

Primary practice location

9888 Bissonnet St Ste 160
Houston, TX 77036-8039

Mailing address

9888 Bissonnet St Ste 160
Houston, TX 77036-8039
Phone (713) 272-3780

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL practicefusion Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191115001595 TX Practitioner - Nurse Practitioner 3173685674 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beloved Home Health Services,Inc Current Accepting new patients
Chinyere N. Awa, MD, PA PastSince Apr 19, 2022 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beloved Home Health Services,IncHouston, TX, CCN 458287 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
Corporate Director
W-2 Managing Employee
Nov 19, 2007
Dec 31, 1997
Nov 19, 2007
Nov 19, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1013579176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 BISSONNET ST STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368039",
            "telephone_number": "713-272-3780",
            "fax_number": "713-272-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 BISSONNET ST STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368039",
            "telephone_number": "713-272-3780",
            "fax_number": "713-272-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURU",
        "first_name": "AGATHA",
        "middle_name": "OGECHI",
        "name_prefix": "Mrs.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP141767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "practicefusion",
            "affiliation": "N",
            "endpointDescription": "practicefusion",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "9888 Bissonnet St Ste 160",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770368039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.