Active NPI
Azikiwe C. Nwosu, M.D.
- Nephrology Physician
- El Paso, TX
National Provider Identifier
1083641179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- J9769
- 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, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106226702 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.