Ndubuisi David Odimegwu, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP137648 Issued in TX

Practice address

5530 W Ridgecreek Dr Ste 250
Houston, TX 77053-3536

Phone

(346) 223-2195

Fax

(346) 998-1550

NPI assigned

Jun 1, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sugarland Trinity Home Health Care LLC Home health agency, Katy, TX, CCN 747616
• States Health, Inc. Home health agency, Houston, TX, CCN 453132
• Gabriel Home Health Care Home health agency, Houston, TX, CCN 679094
• M & M Advanced Healthcare Inc Home health agency, Houston, TX, CCN 679785

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Reliable Family & Geriatrics Practice

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1477198869

  Gerontology

  Medicare reassignment NPD Authorized official
• Sugar Hearts Home Healthcare Services Inc

  • Home Health Agency
  • Missouri City, TX
  • NPI 1225464506
  NPD Authorized official
• Simple Hearts Healthcare Services LTD

  • Home Health Agency
  • Missouri City, TX
  • NPI 1871842096
  NPD (past) Authorized official

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

• Gabriel Home Care

  • Home Health Agency
  • Houston, TX
  • NPI 1003969882
  Care Compare affiliation
• M&M Advanced Healthcare Inc

  • Home Health Agency
  • Cypress, TX
  • NPI 1184924383
  Care Compare affiliation
• States Health Inc.

  • Home Health Agency
  • Houston, TX
  • NPI 1518990068
  Care Compare affiliation
• Sugarland Trinity Home Health Care, Inc.

  • Home Health Agency
  • Sugar Land, TX
  • NPI 1568851855
  Care Compare affiliation

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1043702467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 PLUM CREEK LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774894165",
            "telephone_number": "651-353-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 W RIDGECREEK DR STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770533536",
            "telephone_number": "346-223-2195",
            "fax_number": "346-998-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIMEGWU",
        "first_name": "NDUBUISI",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP137648",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP137648",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP137648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Practicefusion",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5530 W Ridgecreek Dr Ste 250",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770533536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick Odia, MD
• Ebelechukwu Odiari, M.D.
• Pauline Chidiebere Odili
• Wendy Odili
• Mishael Odimegwu
• Odinakachukwu Agu
• Emmanuel Odinigwe
• Daniel Odion
• Bruno Calazans Odisio, M.D.
• Erika G. L. C. Odisio, MD

• Gerontology Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.