Active NPI
Ann Chioma Agu, NP
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP126056
- Practice address
- 1515 Holcombe Blvd
Houston, TX 77030-4009 - Phone
- (713) 792-6161
- NPI assigned
- Nov 3, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 719144 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP126056 | TX | Primary |
Addresses
Primary practice location
1515 Holcombe Blvd
Houston, TX 77030-4009
Mailing address
PO Box 4439
Houston, TX 77210-4439
Phone (713) 792-2991
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343114002 (MDACC) | Medicaid | TX | |
| 0035TD | Other | TX | BCBSTX GRP PROV RECORD # |
| 153449704 | Other | TX | MDCD GRP TPI # |
| 387035YNBT | Other | TX | INDIV MDCR PTAN |
| 00106W | Other | TX | MDCR GRP PTAN # |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150128000433 | TX | Practitioner - Nurse Practitioner | 1153645866 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Referral Service
Practice addresses (Care Compare)
2130 W Holcombe Blvd
Univ of TX M D Ande Life Sciences Plaza
Houston, TX 77030-4009
Phone (713) 592-5433
Hospital & facility affiliations
- University of Texas M D Anderson Cancer Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Quality
- 70.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 719144 | TX | MD | Registered Nurse |
| AP126056 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Referral Service | Current | Accepting new patients |
Locations
1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446
1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446
Interoperability endpoints
- aagu10792@utmdandersoncc.direct-ci.com
Organizations & group practices 1
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 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1174582050
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1124423124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4439",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104439",
"telephone_number": "713-792-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304009",
"telephone_number": "713-792-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGU",
"first_name": "ANN",
"middle_name": "CHIOMA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-03",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "719144",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP126056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343114002 (MDACC)",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX GRP PROV RECORD #",
"identifier": "0035TD",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCD GRP TPI #",
"identifier": "153449704",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIV MDCR PTAN",
"identifier": "387035YNBT",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCR GRP PTAN #",
"identifier": "00106W",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.