Individual provider Active NPI

Chinenye Okechukwu Mbachu, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Sam Houston, TX
National Provider Identifier
1083084081
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP128887 Issued in TX
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

Updated by the provider on Jun 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
350970501MedicaidTX
P01746196OtherTXRR MEDICARE
8394ULOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA, MD, TX4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20181019002552 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618286923 Reassigns benefits to 1 organization
I20230325000096 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618286923 Reassigns benefits to 1 organization
I20230925001044 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618286923 Reassigns benefits to 1 organization
I20240118000104 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618286923 Reassigns benefits to 3 organizations

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
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 24, 2018 Accepting new patients
Guardian Angel Anesthesia Services LTD Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 9, 2023 Accepting new patients
Johns Hopkins University CurrentSince Aug 12, 2023 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Aug 12, 2023 Accepting new patients
Lone Star Anesthesia Partners PLLC CurrentSince Dec 1, 2025 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.