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

Last updated

Aug 11, 2024By the provider in NPPES

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 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

  dba Gabriel Home Health 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 (totalcare services)
• 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.