Individual provider Active NPI

Sobie Maduka

  • Family Medicine Physician
  • Abilene, TX
National Provider Identifier
1043742752
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S4809 Issued in TX
Practice address
1150 N 18TH St Ste 200
Abilene, TX 79601-2931
Phone
(325) 670-5530
Fax
(833) 437-1259
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S4809 TX Primary

Addresses

Primary practice location

1150 N 18TH St Ste 200
Abilene, TX 79601-2931

Mailing address

1150 N 18TH St Ste 200
Abilene, TX 79601-2931
Phone (325) 670-5530

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
I20200708000084 TX Practitioner - Family Practice 6204105265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1210 N 18TH St
Abilene, TX 79601-2933
Phone (325) 670-4080

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S4809TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network Family Medicine CurrentSince Aug 24, 2020 Accepting new patients
Hendrick Provider Network CurrentSince Aug 24, 2020 Accepting new patients
Hendrick Medical Center Current Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1210 N 18th St
Abilene, TX 79601
Phone (325) 670-4020

1150 N 18th St
Ste 200
Abilene, TX 79601
Phone (325) 670-2255

Interoperability endpoints

  • Direct secure messaging: sobiemaduka@hmc.allscriptsdirect.net
  • Direct secure messaging: sobie.maduka.1@21794.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1043742752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 18TH ST STE 200",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012931",
            "telephone_number": "325-670-5530",
            "fax_number": "833-437-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 18TH ST STE 200",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012931",
            "telephone_number": "325-670-5530",
            "fax_number": "833-437-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUKA",
        "first_name": "SOBIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S4809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.