Individual provider Active NPI

Uma Ikechukwu Maduekwe, M.D.

  • Plastic Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1144531237
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
V9791 Issued in TX
Practice address
1500 Cooper St
Fort Worth, TX 76104-2710
Phone
(682) 885-7770
Fax
(682) 303-1575
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X V9791 TX Primary

Addresses

Primary practice location

1500 Cooper St
Fort Worth, TX 76104-2710

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6483

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address umaduekue238486@CookChildrens.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, IL, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200603001357 MD Practitioner - Plastic and Reconstructive Surgery 5496057994 Reassigns benefits to 2 organizations
I20220707000220 IL Practitioner - General Surgery 5496057994 Reassigns benefits to 2 organizations
I20251027001832 TX Practitioner - Plastic and Reconstructive Surgery 5496057994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7000 Calmont Ave
Suite 150
Fort Worth, TX 76116-4192

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
71.53
Promoting interoperability
100
Improvement activities
40
Cost
76.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V9791TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shock Trauma Associates, P.a. CurrentSince Jul 1, 2020 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 1, 2022 Accepting new patients
Board of Trustees Fo the University of Illinois CurrentSince Aug 1, 2022 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jul 1, 2022 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Johns Hopkins University Current Accepting new patients
Cook Children's Physician Network Current Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2020 Accepting new patients
Cook Children's Physician Network CurrentSince Oct 22, 2025 Accepting new patients
Johns Hopkins University Plastic Surgery CurrentSince Jul 1, 2020 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jul 1, 2022 Accepting new patients

Locations

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300

2653 W Ogden Ave
Fl 3
Chicago, IL 60608
Phone (773) 257-6701

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

600 N Wolfe St
Baltimore, MD 21287

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

1500 Cooper St
Ft Worth, TX 76104
Phone (682) 885-2500

4100 W University Dr
Prosper, TX 75078
Phone (682) 303-4200

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: umaduekue238486@cookchildrens.direct-ci.com
  • Direct secure messaging: umaduekwe694273@direct.hopkinsmedicine.org
  • Direct secure messaging: umaduekwe238486@cookchildrens.direct-ci.com
  • Direct secure messaging: umaduekwe139543@uihealth.direct-ci.com

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1144531237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6483",
            "fax_number": "682-885-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COOPER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042710",
            "telephone_number": "682-885-7770",
            "fax_number": "682-303-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUEKWE",
        "first_name": "UMA",
        "middle_name": "IKECHUKWU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "V9791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "umaduekue238486@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "1500 Cooper St",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761042710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.