Active NPI
Chinenye Okechukwu Mbachu, CRNA
- Certified Registered Nurse Anesthetist
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP128887
- Practice address
- 3551 Roger Brooke Dr Apt 300
Fort Sam Houston, TX 78234-4517 - Phone
- (210) 916-4141
- Fax
- (713) 458-4229
- NPI assigned
- Oct 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP128887 | TX | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr Apt 300
Fort Sam Houston, TX 78234-4517
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-4141
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350970501 | Medicaid | TX | |
| P01746196 | Other | TX | RR MEDICARE |
| 8394UL | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA, MD, TX
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 256-4100
600 W Ridge Rd
Wytheville, VA 24382-1044
Phone (276) 228-0200
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Guardian Angel Anesthesia Services LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Lone Star Anesthesia Partners PLLC | Current | Accepting new patients |
Locations
600 N Wolfe St
Baltimore, MD 21287
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
2511 N Westwood Blvd
Ste B
Poplar Bluff, MO 63901
112 Herff Rd
Ste 200
Boerne, TX 78006
Phone (210) 331-7720
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000
403 Treeline Park
San Antonio, TX 78209
Phone (210) 294-8000
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
Interoperability endpoints
- cmbachu1142985@direct.hopkinsmedicine.org
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.
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, VA, WV
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- New Braunfels, TX
- NPI 1932468931
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1124760996
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1386631810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719014400000",
"number": "1083084081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR APT 300",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344517",
"telephone_number": "210-916-4141",
"fax_number": "713-458-4229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBACHU",
"first_name": "CHINENYE",
"middle_name": "OKECHUKWU",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-02",
"last_updated": "2024-06-22",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP128887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "350970501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01746196",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8394UL",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.