Individual provider Active NPI

Azikiwe C. Nwosu, M.D.

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1083641179
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J9769 Issued in TX
Practice address
4801 Alberta Ave.
El Paso, TX 79905
Phone
(915) 545-6647
Fax
(915) 545-9799
NPI assigned
Jun 26, 2006
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J9769 TX
Nephrology Physician 207RN0300X J9769 TX Primary

Addresses

Primary practice location

4801 Alberta Ave.
El Paso, TX 79905

Mailing address

5130 Gateway Blvd E # 51015
El Paso, TX 79905-1608
Phone (915) 215-4480

Other identifiers 1

IdentifierTypeStateIssuer
106226702MedicaidTX

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
I20050916000744 TX Practitioner - Internal MedicinePractitioner - Nephrology 7618885989 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Sep 1, 1995 Accepting new patients
Texas Tech University Health Sciences Center El Paso Internal Medicine CurrentSince Sep 1, 1995 Accepting new patients
Texas Tech University Health Sciences Center PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center El Paso Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center El Paso PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center El Paso PastSince Jan 1, 1990 Accepting new patients
Texas Tech University, Health and Science Ceter PastSince Jan 1, 1990 Accepting new patients
Texas Tech Univesity Health Sciences PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center El Paso PastSince Jan 1, 1990 Accepting new patients
Texas Tech University El Paso PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center El Paso PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center El Paso PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center El Paso PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center PastSince Jan 1, 1990 Accepting new patients
Texas Tech University Health Sciences Center PastSince Jan 1, 1990 Accepting new patients

Locations

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

Interoperability endpoints

  • Direct secure messaging: azikiwe.nwosu@direct.myhealthep.org

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1083641179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 GATEWAY BLVD E # 51015",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051608",
            "telephone_number": "915-215-4480",
            "fax_number": "915-215-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 ALBERTA AVE.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79905",
            "telephone_number": "915-545-6647",
            "fax_number": "915-545-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "AZIKIWE",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9769",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J9769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106226702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.