Individual provider Active NPI

Anthony Karonji Ndua, APRN

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1043765969
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131737 Issued in TX
Practice address
1401 Wirt Rd Ste E2
Houston, TX 77055-4904
Phone
(832) 583-9060
NPI assigned
Aug 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131737 TX Primary

Addresses

Primary practice location

1401 Wirt Rd Ste E2
Houston, TX 77055-4904

Mailing address

7600 Highmeadow Dr
Apt, 2028
Houston, TX 77063-4800
Phone (832) 366-7386

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
I20180816000929 TX Practitioner - Nurse Practitioner 9931458429 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kdunn and Associates, P.a. Family Current Accepting new patients
Kdunn and Associates, P.a. CurrentSince Aug 1, 2018 Accepting new patients

Locations

1330 Wirt Rd
Ste R
Houston, TX 77055
Phone (346) 406-1730

1401 Wirt Rd
Ste E2
Houston, TX 77055
Phone (713) 464-1051

Organizations & group practices 2

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": "1471651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1043765969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 HIGHMEADOW DR",
            "address_2": "APT, 2028",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770634800",
            "telephone_number": "832-366-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WIRT RD STE E2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554904",
            "telephone_number": "832-583-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUA",
        "first_name": "ANTHONY",
        "middle_name": "KARONJI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-20",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.