Individual provider Active NPI

Nsibisi Uja Eneyo, MD

  • Internal Medicine Physician
  • Georgetown, TX
National Provider Identifier
1104454198
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U4504 Issued in TX
Practice address
2000 Scenic Dr
Georgetown, TX 78626-7726
Phone
(512) 943-3000
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U4504 TX Primary

Addresses

Primary practice location

2000 Scenic Dr
Georgetown, TX 78626-7726

Mailing address

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 943-3000

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
I20230727000293 TX Practitioner - Internal Medicine 2860810694 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PA 666 clinicians

Practice addresses (Care Compare)

6406 N Ih 35
2600 Wellmed at St. John'S
Austin, TX 78752-3230
Phone (512) 465-4800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U4504TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Pat Associates PA Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Mar 10, 2025 Accepting new patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Mar 10, 2025 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
St. Davids Healthcare Partnership, L.P., LLP Past Accepting new patients
Covenant Medical Group Internal Medicine Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

6406 N Interstate 35
Ste 2600
Austin, TX 78752
Phone (512) 465-4800

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: nsibisi.eneyoceballos@wellmed.eclinicaldirectplus.com

Organizations & group practices 7

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1104454198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267726",
            "telephone_number": "512-943-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267726",
            "telephone_number": "512-943-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENEYO",
        "first_name": "NSIBISI",
        "middle_name": "UJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U4504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.