Individual provider Active NPI

Okezie Aguoru, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1063677672
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N6131 Issued in TX
Practice address
3003 S Loop W Ste 204
Houston, TX 77054-1371
Phone
(713) 796-9500
Fax
(713) 796-9504
NPI assigned
Jul 23, 2008
Last updated
Nov 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0067827 MD
Family Medicine Physician 207Q00000X N6131 TX Primary

Addresses

Primary practice location

3003 S Loop W Ste 204
Houston, TX 77054-1371

Mailing address

PO Box 1626
Cypress, TX 77410-1626
Phone (713) 796-9500

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
I20101208000698 TX Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 4789750688 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Sunrise Urgent Care CenterGroup PAC ID 2163726720, 4 clinicians

Practice addresses (Care Compare)

24948 FM 1093 Rd
Suite 205
Richmond, TX 77406-3620
Phone (281) 347-2228

3003 S Loop W
Suite 204
Houston, TX 77054-1371
Phone (713) 796-9500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0067827MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Urgent Care Center CurrentSince Jan 1, 2016 Accepting new patients
Unity Family Clinic PA Family Medicine CurrentSince Feb 2, 2011 Accepting new patients
St. David's Carenow Urgent Care PLLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Inpatient Medical Services, P.a. Past Accepting new patients
Axon Interventional Pain Solutions, PLLC PastSince Jan 1, 2016 Accepting new patients
Jefferson Emergency Medicine Associates PA Past Accepting new patients
Totalcare Services Inc Past Accepting new patients
Pioneer Physician Services PA Past Accepting new patients

Locations

5033 W Highway 290
Austin, TX 78735
Phone (512) 265-8980

5001 183A Toll Rd
Ste R100
Cedar Park, TX 78613
Phone (512) 595-7000

3003 S Loop W
Ste 204
Houston, TX 77054
Phone (713) 796-9500

24948 FM 1093 Rd
Ste 205
Richmond, TX 77406
Phone (281) 347-2228

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1063677672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1626",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774101626",
            "telephone_number": "713-796-9500",
            "fax_number": "713-796-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 S LOOP W STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541371",
            "telephone_number": "713-796-9500",
            "fax_number": "713-796-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUORU",
        "first_name": "OKEZIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0067827",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N6131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.