Active NPI
Chimeremeze Ndubuoke, MD
- Pediatrics Physician
- Dallas, TX
National Provider Identifier
1043997927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 53467
- Practice address
- 5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-7200 - Phone
- (214) 648-3111
- NPI assigned
- Jul 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 53467 | AL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-7200
Mailing address
5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-7200
Phone (214) 456-5802
Other practice location 1
2451 University Hospital Dr Rm 714
Mobile, AL 36617-2300
Phone (251) 434-3915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230920000719 | AL | Order and Referring Only - Pediatric Medicine | 1153785449 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6008 | AL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1043997927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD STOP 7200",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907200",
"telephone_number": "214-456-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD STOP 7200",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907200",
"telephone_number": "214-648-3111"
}
],
"practiceLocations": [
{
"address_1": "2451 University Hospital Dr Rm 714",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366172300",
"country_code": "US",
"telephone_number": "251-434-3915",
"fax_number": "251-415-1387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NDUBUOKE",
"first_name": "CHIMEREMEZE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-03",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "53467",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.