Individual provider Active NPI

Fortune Chimdindu Unegbu, MD

  • Gastroenterology Physician
  • Leander, TX
National Provider Identifier
1104489681
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
V7092 Issued in TX
Practice address
1361 Hero Way Ste 100
Leander, TX 78641-5579
Phone
(512) 244-2273
Fax
(512) 862-4739
NPI assigned
Apr 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X V7092 TX Primary

Addresses

Primary practice location

1361 Hero Way Ste 100
Leander, TX 78641-5579

Mailing address

PO Box 10597
Austin, TX 78766-1597
Phone (512) 420-0186

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
I20250417000888 TX Practitioner - Gastroenterology 3375878705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Paul L Foster School of Medicine, Texas Tech Univ, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Gastroenterology PLLCGroup PAC ID 9739174954, 75 clinicians

Practice addresses (Care Compare)

1361 Hero Way
Suite 100
Leander, TX 78641-5579
Phone (512) 244-2273

Hospital & facility affiliations

  • North Austin Medical Center Hospital, Austin, TX, CCN 450809
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy48
Upper gastrointestinal (GI) endoscopy for acid reflux92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V7092TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Gastroenterology, PLLC Gastroenterology CurrentSince May 1, 2025 Accepting new patients
Austin Gastroenterology PA CurrentSince May 1, 2025 Accepting new patients

Locations

7951 Shoal Creek Blvd
Ste 200
Austin, TX 78757
Phone (512) 454-4588

1361 Hero Way
Ste 100
Leander, TX 78641
Phone (512) 371-1519

7200 Wyoming Springs Dr
Ste 1300
Round Rock, TX 78681

Interoperability endpoints

  • FHIR API: https://f1c3b871-8724-4a21-b291-f8f62dcb574b.gastro.prod.fhir.ema-api.com/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1104489681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10597",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787661597",
            "telephone_number": "512-420-0186",
            "fax_number": "903-200-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 HERO WAY STE 100",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786415579",
            "telephone_number": "512-244-2273",
            "fax_number": "512-862-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNEGBU",
        "first_name": "FORTUNE",
        "middle_name": "CHIMDINDU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "V7092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

Verify at the official NPI Registry.