Individual provider Active NPI

Victor Ukaegbu, NP-C

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1043479462
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
704263 Issued in TX
Practice address
C/O Garden Terrace
7887 Cambridge St
Houston, TX 77054
Phone
(832) 244-2808
Fax
(281) 201-4416
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 704263 TX Primary
Family Nurse Practitioner 363LF0000X 704263 TX

Addresses

Primary practice location

C/O Garden Terrace
7887 Cambridge St
Houston, TX 77054

Mailing address

8307 Knight Rd
Houston, TX 77054-3905
Phone (713) 242-7707

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
I20081022000319 TX Practitioner - Nurse Practitioner 7618074469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trumen Physician and Associates Post Acute PLLCGroup PAC ID 5496236788, 127 clinicians
Trumen Physicians and Associates PLLCGroup PAC ID 7618006883, 133 clinicians

Practice addresses (Care Compare)

2626 S Loop W
Suite 265
Houston, TX 77054-5636
Phone (713) 796-9955

7887 Cambridge St
Houston, TX 77054-2013
Phone (713) 796-2777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
704263TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trumen Physicians and Associates PLLC Family CurrentSince Jun 29, 2013 Accepting new patients
Houston Family Physicians PA PastSince Jan 11, 2012 Accepting new patients
Ahmad. a. Mur, MD PA Adult Health PastSince Nov 19, 2023 Accepting new patients

Locations

8307 Knight Rd
Houston, TX 77054
Phone (713) 242-7707

7887 Cambridge St
Houston, TX 77054
Phone (713) 796-2777

2626 S Loop W
Ste 265
Houston, TX 77054
Phone (713) 796-9955

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1043479462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 KNIGHT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543905",
            "telephone_number": "713-242-7707",
            "fax_number": "713-796-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C/O GARDEN TERRACE",
            "address_2": "7887 CAMBRIDGE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "832-244-2808",
            "fax_number": "281-201-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKAEGBU",
        "first_name": "VICTOR",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "704263",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "704263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.