Individual provider Active NPI

Ihechi Ngozi Nwosuocha

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1053956508
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG05190039 Issued in TX
Practice address
2400 Augusta Dr Ste 369
Houston, TX 77057-4911
Phone
(713) 347-1639
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AG05190039 TX Primary

Addresses

Primary practice location

2400 Augusta Dr Ste 369
Houston, TX 77057-4911

Mailing address

20010 Ballinger Ridge CT
Richmond, TX 77407-4057
Phone (718) 290-0207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202000813 TX Practitioner - Nurse Practitioner 3779936034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3663 N Sam Houston Pkwy E
Suite 600
Houston, TX 77032-3611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG05190039TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bellaire Wound Care CurrentSince Feb 1, 2026 Accepting new patients
Global Wound Care Medical Group CurrentSince Dec 24, 2023 Accepting new patients
Inner City Ambulance Services Inc PastSince Nov 1, 2019 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

2400 Augusta Dr
Ste 369
Houston, TX 77057
Phone (323) 545-4007

2400 Augusta Dr
Ste 366
Houston, TX 77057
Phone (346) 362-5344

3663 N Sam Houston Pkwy E
Ste 600
Houston, TX 77032
Phone (281) 594-8953

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.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1053956508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20010 BALLINGER RIDGE CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074057",
            "telephone_number": "718-290-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AUGUSTA DR STE 369",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574911",
            "telephone_number": "713-347-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOSUOCHA",
        "first_name": "IHECHI",
        "middle_name": "NGOZI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AG05190039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.