Domitilla Akuforo Iwu, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

683861 Issued in TX

Practice address

1058 Mockingbird Hill CT
Murphy, TX 75094-3255

Phone

(972) 424-1691

Fax

(972) 424-1691

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mobile MD PAGroup PAC ID 5395720882, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mobile MD PA

  • Internal Medicine Physician
  • McKinney, TX
  • NPI 1306933718

  TX

  Medicare reassignment Care Compare group NPD
• Optimum Housecall Providers PLLC

  • Nurse Practitioner
  • Murphy, TX
  • NPI 1053055541

  TX

  Medicare reassignment Authorized official
• Pro Healthcare LLC

  • Adult Health Clinical Nurse Specialist
  • Carrollton, TX
  • NPI 1225479959

  TX

  Medicare reassignment NPD
• Neurological Associates of North Texas

  • Neurological Surgery Physician
  • Dallas, TX
  • NPI 1619399706

  TX

  Medicare reassignment
• Frontview Provider Services Inc

  • Home Health Agency
  • Irving, TX
  • NPI 1093813149
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1164527008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 MOCKINGBIRD HILL CT",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943255",
            "telephone_number": "972-424-1691",
            "fax_number": "972-424-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 MOCKINGBIRD HILL CT",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943255",
            "telephone_number": "972-424-1691",
            "fax_number": "972-424-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWU",
        "first_name": "DOMITILLA",
        "middle_name": "AKUFORO",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "683861",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "683861",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "683861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Instasmiles LLC
• Sidney Alejandra Irias
• Lamiya Abida Islam
• Bernadette Isom, M.S., CCC-SLP
• Richard Lee Ison, O.D.
• Victoria Ngozi Iwuoha, AGACNP-BC
• Mini James, RN, BSN
• Amanda Dawn Jameson
• Meetika Jindal
• John Allen Van Wagoner, MD, PA

• All providers in Murphy, TX
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.