Active NPI
Nsibisi Uja Eneyo, MD
- Internal Medicine Physician
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- U4504
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| U4504 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lonestar Pat Associates PA | Internal Medicine | Current | Accepting new patients |
| Wellmed Medical Group, P.a. | Internal Medicine | Current | Accepting new patients |
| Wellmed Medical Group, PA | Internal Medicine | Current | Accepting new patients |
| Ipc Healthcare Services of Texas, PLLC | Internal Medicine | Current | 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
- 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.
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-
- Hospitalist Physician
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- NPI 1659679157
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Internal Medicine
-
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- NPI 1720033947
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.
- 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.