Individual provider Active NPI

Justin Kenneth Ugwu, MD

  • Cardiovascular Disease Physician
  • Kansas City, KS
National Provider Identifier
1033537873
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R5333 Issued in TX
Practice address
3901 Rainbow Blvd # Ms 3006
Kansas City, KS 66160-2613
Phone
(913) 588-3827
NPI assigned
Mar 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R5333 TX Primary
Internal Medicine Physician 207R00000X MD44004 IA

Addresses

Primary practice location

3901 Rainbow Blvd # Ms 3006
Kansas City, KS 66160-2613

Mailing address

3901 Rainbow Blvd # Ms 3006
Kansas City, KS 66160-8500
Phone (913) 588-3827

Other practice location 1

707 E Marshall Ave
Longview, TX 75601-5545
Phone (903) 315-4880

Other practice location 2

113 Airport Rd Ste 301
Sulphur Springs, TX 75482-2198
Phone (903) 885-3059

Other practice location 3

3201 S Loop 256
Palestine, TX 75801-6901
Phone (903) 723-2311

Other practice location 4

764 W Commerce St
Fairfield, TX 75840-1428
Phone (903) 595-2283

Other practice location 5

1783 Troup Hwy
Tyler, TX 75701-5869
Phone (903) 606-3222

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015003578 TX Practitioner - Cardiovascular Disease (Cardiology) 9638440274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

105 -II Medical PLZ
Christus Trinity Clinic
Sulphur Springs, TX 75482-2105
Phone (903) 885-5439

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

125 Newman St
Fairfield, TX 75840-1419
Phone (903) 595-2283

127 Medical Dr
Palestine, TX 75801-4781
Phone (903) 723-3300

1302 N Pacific St
Christus Trinity Clinic
Mineola, TX 75773-1022
Phone (903) 569-5383

1339 S Broadway St
Sulphur Springs, TX 75482-4895
Phone (903) 951-1000

1505 S Palestine St
Athens, TX 75751-8950
Phone (903) 675-6800

1505 State Hwy 19 S
Christus Trinity Clinic
Athens, TX 75751-8950
Phone (903) 675-1725

1783 Troup Hwy
Tyler, TX 75701-5869
Phone (903) 595-2283

18780 Interstate 20
Canton, TX 75103-3593
Phone (903) 567-4841

20208 State Hwy 155 S
Christus Trinity Clinic
Flint, TX 75762-5600
Phone (903) 825-6222

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 541-4599

313 W Parker St
Christus Trinity Clinic
Elkhart, TX 75839-7612
Phone (903) 764-5626

3201 S Loop
Palestine, TX 75801-6901

3203 S Main St
Christus Trinity Clinic
Lindale, TX 75771-7727
Phone (903) 266-4000

3593 E Grande Blvd
Christus Trinity Clinic
Tyler, TX 75707-1400
Phone (903) 839-2585

3802 Manhatton Dr
Tyler, TX 75701-9451
Phone (903) 509-8888

520 Douglas Blvd
Tyler, TX 75702-8307
Phone (903) 593-1721

5321 S FM
14 Christus Trinity Clinic
Holly Lake Ranch, TX 75765-4839
Phone (903) 769-2990

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

700 S Fleishel Ave
Tyler, TX 75701-2014
Phone (903) 606-5600

719 W Coke Rd
Christus Trinity Clinic
Winnsboro, TX 75494-3011
Phone (903) 342-5227

800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186

803 Hwy 31 E
Christus Trinity Clinic
Chandler, TX 75758-0373
Phone (903) 849-5756

Hospital & facility affiliations

  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • Freestone Medical Center Hospital, Fairfield, TX, CCN 450658
  • Christus Mother Frances Hospital- Jacksonville Hospital, Jacksonville, TX, CCN 451319
  • Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236
  • Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747
  • Ut Health East Texas Rehabilitation Hospital Inpatient rehabilitation facility, Tyler, TX, CCN 453072

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
94.26
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD44004IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Sep 9, 2024 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Sep 9, 2024 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Nov 13, 2025 Accepting new patients
South Dayton Acute Care Consultants, Inc Internal Medicine PastSince Jul 1, 2017 Accepting new patients

Locations

764 W Commerce St
Fairfield, TX 75840
Phone (903) 389-2181

707 E Marshall Ave
Longview, TX 75601
Phone (903) 315-4880

3201 S Loop 256
Palestine, TX 75801
Phone (903) 723-0330

113 Airport Rd
Ste 301
Sulphur Springs, TX 75482
Phone (903) 438-8330

1783 Troup Hwy
Tyler, TX 75701
Phone 90359522832057

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: jugwu384423@christushealth.direct-ci.net

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 7

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": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1033537873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 3006",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-588-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 3006",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661602613",
            "telephone_number": "913-588-3827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015545",
            "country_code": "US",
            "telephone_number": "903-315-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Airport Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822198",
            "country_code": "US",
            "telephone_number": "903-885-3059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 S Loop 256",
            "address_purpose": "LOCATION",
            "city": "Palestine",
            "state": "TX",
            "postal_code": "758016901",
            "country_code": "US",
            "telephone_number": "903-723-2311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "764 W Commerce St",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "TX",
            "postal_code": "758401428",
            "country_code": "US",
            "telephone_number": "903-595-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1783 Troup Hwy",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757015869",
            "country_code": "US",
            "telephone_number": "903-606-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGWU",
        "first_name": "JUSTIN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-30",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "R5333",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD44004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.