Christie U. Egbuchunam, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M2313 Issued in TX

Practice address

305 Regency Pkwy
Suite 509
Mansfield, TX 76063-3794

Phone

(817) 453-2323

Fax

(817) 453-2322

NPI assigned

Jul 14, 2006

Last updated

Jan 26, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Family Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Arlington Hospital, Arlington, TX, CCN 450675

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christie.egbuchunam@rhmc.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DDGACD/Endpoint/DDGACD

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.

• Christie U Egbuchunam MD PA

  dba Regency Healing Medical Clinic

  • Family Medicine Physician
  • Mansfield, TX
  • NPI 1770884603
  Medicare reassignment NPD Authorized official
• Adam H. Miller, MD, PLLC

  dba TXMD

  • Emergency Medicine Physician
  • Carrollton, TX
  • NPI 1346758018
  NPD (past)
• Doctors Urgent Care PA

  dba I-35E Medical Clinic

  • Personal Emergency Response Attendant
  • Carrollton, TX
  • NPI 1942329628
  NPD (past)

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

• Columbia Medical Center of Arlington Subsidiary LP

  dba Medical City Arlington

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1134172406
  Care Compare affiliation

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1053337709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 REGENCY PKWY",
            "address_2": "SUITE 509",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633794",
            "telephone_number": "817-453-2323",
            "fax_number": "817-453-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 REGENCY PKWY",
            "address_2": "SUITE 509",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633794",
            "telephone_number": "817-453-2323",
            "fax_number": "817-453-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBUCHUNAM",
        "first_name": "CHRISTIE",
        "middle_name": "U.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8K4033",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179924901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179924902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Ashlea Edgar
• Margaret Edimo, NP
• Cherelle Edwards, NP
• Aderonke Efunogbon
• Mercy Uchechi Efuwape, DPT
• Henry Ehizokhale, PMHNP
• Ehs Health Group PLLC
• Shafaq Ejaz, M.D.
• Doris Nwamaka Ejimadu
• Brittany Eleam

• Family Medicine Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.