NPIMap

Individual provider Active NPI

Ikechukwu Umezurike, MD

  • Internal Medicine Physician
  • Lubbock, TX
National Provider Identifier
1144309105
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101240300 Issued in VA
Practice address
6703 82ND St Apt 732
Lubbock, TX 79424-6754
Phone
(347) 661-0423
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0101240300 VA Primary

Addresses

Primary practice location

6703 82ND St Apt 732
Lubbock, TX 79424-6754

Mailing address

6703 82ND St Apt 732
Lubbock, TX 79424-6754
Phone (347) 661-0423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070516000423 TX Practitioner - Internal Medicine 6103923743 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

5915 Elysian Fields Rd
Marshall, TX 75672-2083
Phone (903) 935-6700

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101240300VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Feb 19, 2020 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jun 15, 2015 Accepting new patients
Jeci Corporation Internal Medicine CurrentSince Oct 8, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 19, 2020 Accepting new patients
Christus Good Shepherd Medical Center Past Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients
Hopkins County Hospital District Past Accepting new patients
Nacogdoches County Hospital District Past Accepting new patients

Locations

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

301 Hollybrook Dr
Longview, TX 75605
Phone (903) 758-7764

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

9812 Slide Rd
Lubbock, TX 79424
Phone (806) 725-1000

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

5915 Elysian Fields Rd
Marshall, TX 75672
Phone (903) 935-6700

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: iumezurike110567@christushealth.direct-ci.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avir at LongviewLongview, TX, CCN 455678 Skilled nursing facility Adp of the SNF Sep 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 6

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144309105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 82ND ST APT 732",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246754",
            "telephone_number": "347-661-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 82ND ST APT 732",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246754",
            "telephone_number": "347-661-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMEZURIKE",
        "first_name": "IKECHUKWU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101240300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.