Organization Active NPI

Texas Occupational Medical Services

  • Occupational Medicine Physician
  • Irving, TX
National Provider Identifier
1073250650
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
TEXAS OCCUPATIONAL MEDICAL SERVICES
Practice address
1110 Cottonwood
Irving, TX 75038
Phone
(972) 767-9372
NPI assigned
May 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Ifeoma Ogbonna, MDNPI 1235517087
Title
Owner
Phone
(972) 767-9372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

1110 Cottonwood
Irving, TX 75038

Mailing address

532 Sims Dr
Cedar Hill, TX 75104-7711
Phone (972) 767-9372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, TN, DC, MS5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20220910000168 TX Part B Supplier - Clinic/Group Practice 4284019332 Receives reassigned benefits from 2 practitioners
Practice locations: Cedar Hill, TX
O20240524001320 CA Part B Supplier - Clinic/Group Practice 4284019332 Receives reassigned benefits from 1 practitioner
Practice locations: Burbank, CA
O20240529000893 TN Part B Supplier - Clinic/Group Practice 4284019332 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN
O20241007001120 DC Part B Supplier - Clinic/Group Practice 4284019332 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA
O20241007002226 MS Part B Supplier - Clinic/Group Practice 4284019332 Receives reassigned benefits from 1 practitioner
Practice locations: Gulfport, MS

National Provider Directory

National Provider Directory

Locations

2080 W Empire Ave
Burbank, CA 91504
Phone (323) 452-2629

100 Powell Pl
#1431
Nashville, TN 37204
Phone (469) 777-0778

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1073250650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 SIMS DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751047711",
            "telephone_number": "972-767-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75038",
            "telephone_number": "972-767-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS OCCUPATIONAL MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "OGBONNA",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-767-9372",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.