Theophilus O Chukwueke, M.D.
Individual provider Active NPI Ophthalmology Physician · Orange, TX
NPI 1114000577 · NPPES record last updated Nov 1, 2023
Key facts
- NPI
- 1114000577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- K6824 (TX)
- Practice address
- 2801 Macarthur Dr
Ste B
Orange, TX 77630-4703 - Phone
- (409) 883-4500
- NPI assigned
- Oct 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Temple University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
612 S Twin City Hwy
Nederland, TX 77627-4206
Phone (409) 724-0794
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 34 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120501000787 | TX | Practitioner - Ophthalmology | 6709797004 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K6824 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theophilus O. Chukwueke, M.D.,P.a. | Ophthalmology | Current |
Accepting new patients |
| Surgical Rehabilitation Center | Past |
Accepting new patients |
Locations
612 S Twin City Hwy
Nederland, TX 77627
Phone (409) 724-0794
612 S Twin City Hwy
Ste B
Nederland, TX 77627
Phone (409) 724-0794
2801 MacArthur Dr
Ste B
West Orange, TX 77630
Phone (409) 724-0794
Interoperability endpoints
- theophilus.chukwueke.1@13131.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | K6824 | TX | Yes |
Addresses
Primary practice location
2801 Macarthur Dr
Ste B
Orange, TX 77630-4703
Mailing address
612 S Twin City Hwy
Ste B
Nederland, TX 77627-4206
Phone (409) 883-4500
Other providers in Orange, TX
- Miguel E Castellanos
- Chambers County Public Hospital District No 1
- Marian M Chen-Hah
- Frank Kuang-She Chen
- Christopher W. Riedel, DDS, PA
- Candace Cogswell
- Terri Colburn-Hoyland
- Sheila R Cole
- Sarah Anthon Cowart
- Trey Crandall
All providers in Orange, TX · Ophthalmology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.