Individual provider Active NPI

Obiajulu U Kanu, MD

  • Nephrology Physician
  • McKinney, TX
National Provider Identifier
1104207844
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
S6222 Issued in TX
Practice address
2001 Auburn Hills Pkwy Ste 801
McKinney, TX 75071-3572
Phone
(214) 796-8579
NPI assigned
Jun 17, 2015
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X S6222 TX Primary

Addresses

Primary practice location

2001 Auburn Hills Pkwy Ste 801
McKinney, TX 75071-3572

Mailing address

2001 Auburn Hills Pkwy Ste 801
McKinney, TX 75071-3572
Phone (214) 796-8579

Other practice location 1

1902 Windsor Pl Ste 102
Fort Worth, TX 76110-1866
Phone (682) 207-1700

Other practice location 2

4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 215-5222

Other identifiers 1

IdentifierTypeStateIssuer
413966901MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address okanu23126@direct.acumenmd.com

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
I20200616001745 TX Practitioner - NephrologyPractitioner - Internal Medicine 7810245438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Kidney PartnersGroup PAC ID 2365892098, 3 clinicians

Practice addresses (Care Compare)

2001 Auburn Hills Pkwy
Suite 801
McKinney, TX 75071-3572
Phone (214) 796-8579

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S6222TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Kidney Partners Nephrology CurrentSince Aug 14, 2023 Accepting new patients
Acclaim Physician Group, Inc Internal Medicine CurrentSince Jul 22, 2020 Accepting new patients

Locations

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450

2001 Auburn Hills Pkwy
Ste 801
McKinney, TX 75071
Phone (214) 796-8579

Interoperability endpoints

  • Direct secure messaging: okanu1618464@direct.texashealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHBDDD/Endpoint/BHBDDD
  • Direct secure messaging: okanu23126@direct.acumenmd.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1104207844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 AUBURN HILLS PKWY STE 801",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713572",
            "telephone_number": "214-796-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 AUBURN HILLS PKWY STE 801",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713572",
            "telephone_number": "214-796-8579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 Windsor Pl Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761101866",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052709",
            "country_code": "US",
            "telephone_number": "915-215-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANU",
        "first_name": "OBIAJULU",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "S6222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413966901",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "okanu23126@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1902 Windsor Pl Ste 102",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761101866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.