Individual provider Active NPI

Aghaegbulam Harachi Uga, M.D.

  • Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1083925945
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q4867 Issued in TX
Practice address
1700 Curie Dr Ste 2100
El Paso, TX 79902-2981
Phone
(915) 200-1144
Fax
(915) 703-7668
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q4867 TX
Internal Medicine Physician 207R00000X 125.058546 IL
Psychiatry Physician 2084P0800X 125.058546 IL
Psychiatry Physician 2084P0800X Q4867 TX Primary

Addresses

Primary practice location

1700 Curie Dr Ste 2100
El Paso, TX 79902-2981

Mailing address

1700 Curie Dr Ste 2100
El Paso, TX 79902-2981
Phone (915) 200-1144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150727002483 TX Practitioner - PsychiatryPractitioner - Internal Medicine 9234378191 Reassigns benefits to 4 organizations
I20170421000474 NM Practitioner - Psychiatry 9234378191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1700 Curie Dr
Suite 2100
El Paso, TX 79902-2981
Phone (915) 200-1144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.058546ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Aug 1, 2015 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Feb 2, 2022 Accepting new patients
Gonzalo a Diaz CurrentSince Oct 1, 2015 Accepting new patients
Texas Tech University Health Sciences Center El Paso Internal Medicine Current Accepting new patients
Haracec Complete Healthcare, PLLC Internal Medicine CurrentSince Jan 2, 2019 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Aug 1, 2015 Accepting new patients
BHC Mesilla Valley Hospital LLC CurrentSince Feb 18, 2017 Accepting new patients

Locations

3751 Del Rey Blvd
Las Cruces, NM 88012
Phone (505) 382-3500

3571 Del Rey Blvd
Mesillia Vly Hosp
Las Cruces, NM 88012
Phone (575) 373-5043

1900 N Mesa St
El Paso, TX 79902
Phone (915) 200-3788

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

4615 Alameda Ave
El Paso, TX 79905
Phone (432) 268-7247

1700 Curie Dr
Ste 2100
El Paso, TX 79902
Phone (915) 200-1144

4305 N Mesa St
Ste B
El Paso, TX 79902
Phone 91577973781024

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: aghaegbulam.uga@direct.myhealthep.org
  • Direct secure messaging: aghaegbulam.uga@hch.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCDIBD/Endpoint/BCDIBD

Organizations & group practices 8

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1083925945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CURIE DR STE 2100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022981",
            "telephone_number": "915-200-1144",
            "fax_number": "915-703-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CURIE DR STE 2100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022981",
            "telephone_number": "915-200-1144",
            "fax_number": "915-703-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGA",
        "first_name": "AGHAEGBULAM",
        "middle_name": "HARACHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q4867",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.058546",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125.058546",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q4867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.