Active NPI
Chibuzo Onyeze Ukaegbu, MD, MPH
- Addiction Medicine (Family Medicine) Physician
- Las Cruces, NM
National Provider Identifier
1104011444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- MD2008-0255
- Practice address
- 3885 Foothills Rd
Suite B
Las Cruces, NM 88011-4672 - Phone
- (575) 556-9837
- Fax
- (575) 652-3213
- NPI assigned
- Sep 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD 2008-0255 | NM | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | MD2008-0255 | NM | Primary |
Addresses
Primary practice location
3885 Foothills Rd
Suite B
Las Cruces, NM 88011-4672
Mailing address
PO Box 13969
Las Cruces, NM 88013-3969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50538756 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3885 Foothills Rd
Suite B
Las Cruces, NM 88011-4672
Phone (575) 556-9837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 2008-0255 | NM | MD | Family Medicine Physician |
| MD2008-0255 | NM | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buzyke Alliance LLC | Current | Accepting new patients |
Locations
1212 9th St
Ste D
Alamogordo, NM 88310
Phone (505) 437-8022
3885 Foothills Rd
Ste B
Las Cruces, NM 88011
Phone (505) 521-3388
Organizations & group practices 1
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.
-
dba Major Consult Clinic
- Primary Care Clinic/Center
- Las Cruces, NM
- NPI 1699193656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1104011444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13969",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880133969",
"fax_number": "575-652-3213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3885 FOOTHILLS RD",
"address_2": "SUITE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114672",
"telephone_number": "575-556-9837",
"fax_number": "575-652-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UKAEGBU",
"first_name": "CHIBUZO",
"middle_name": "ONYEZE",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-10",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD 2008-0255",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "NM",
"license": "MD2008-0255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50538756",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.
- 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.