Adaeze Azwe Agbor, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06212 Issued in TX

Practice address

2120 Ashland St
Houston, TX 77008-2418

Phone

(713) 864-2659

Fax

(888) 592-4044

NPI assigned

Mar 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpesh D. Desai, DO, PA 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Alpesh D. Desai, D.O. P.a.

  • Specialist
  • Houston, TX
  • NPI 1124078985

  TX

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1154645752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 ASHLAND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082418",
            "telephone_number": "713-864-2659",
            "fax_number": "888-592-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 ASHLAND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082418",
            "telephone_number": "713-864-2659",
            "fax_number": "888-592-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBOR",
        "first_name": "ADAEZE",
        "middle_name": "AZWE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "PA06212",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omoyeme Agbonifo, PHARMD
• Princepaul O Agbonlahor
• Kingsley Osaro Agbontaen
• Blessing Obehi Agbonyi I
• Jackel Agboola, MA
• Monica Agbro
• Adiba Maureen Agbu, RN
• Agc Home Health, Inc
• Agcsi, LLC
• Age in Place Homecare LLC

• All providers in Houston, TX
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.

Verify at the official NPI Registry.