Individual provider Active NPI

Obinna C Ubah, MD

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1053939488
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U5829 Issued in TX
Practice address
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone
(210) 704-3030
NPI assigned
Jul 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X U5829 TX Primary

Addresses

Primary practice location

333 N Santa Rosa
San Antonio, TX 78207-3108

Mailing address

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 704-3030

Other practice location 1

1401 W Pulaski St
Fort Worth, TX 76104-2717
Phone (682) 885-8012

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
I20230814004010 TX Practitioner - Pediatric Medicine 1951763564 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Physician Services of South Texas CurrentSince May 1, 2024 Accepting new patients
Nueces Emergency Medicine Associates PA CurrentSince Feb 24, 2025 Accepting new patients
Children'S Physician Services of South Texas Pediatrics CurrentSince May 1, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Baylor College of Medicine Pediatrics CurrentSince Aug 1, 2023 Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Aug 28, 2023 Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Aug 28, 2023 Accepting new patients

Locations

13340 Highland Hills Dr
Ste 111
Aledo, TX 76008
Phone (682) 303-3000

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

3533 S Alameda St
Ste 203
Corpus Christi, TX 78411

2820 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 342-0485

1401 W Pulaski St
Fort Worth, TX 76104
Phone (682) 885-8012

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: oubah204736@cookchildrens.direct-ci.com

Organizations & group practices 7

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1053939488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 W Pulaski St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042717",
            "country_code": "US",
            "telephone_number": "682-885-8012",
            "fax_number": "682-885-8014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UBAH",
        "first_name": "OBINNA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U5829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.