Active NPI
David Osagie Okumbor, M.D
- Family Medicine Physician
- Terrell, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N1032
- Practice address
- 604 N Rockwall Ave
Terrell, TX 75160-2117 - Phone
- (972) 522-8524
- NPI assigned
- Sep 3, 2007
- Last updated
- Apr 13, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N1032 | TX | Primary |
Addresses
Primary practice location
604 N Rockwall Ave
Terrell, TX 75160-2117
Mailing address
18 Kestrel CT
Heath, TX 75032-2043
Phone (214) 675-3859
Other names 1
- Dr. David Osagie Okumbor
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5000
604 N Rockwall Ave
Terrell, TX 75160-2117
Phone (972) 522-8524
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hunt Memorial Hospital District | Family Medicine | Current | Accepting new patients |
| Hunt Memorial Hospital District | Current | Accepting new patients | |
| Avid Healthcare Services PA | Current | Accepting new patients | |
| Glen Oaks Hospital, Inc. | Current | Accepting new patients | |
| Angelina Physician Services PA | Past | Accepting new patients | |
| Texas Em-I Medical Services, PA | Past | Accepting new patients | |
| Wheatland Inpatient Services | Past | Accepting new patients |
Locations
301 Division St
Greenville, TX 75401
Phone (903) 453-3376
4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470
604 N Rockwall Ave
Terrell, TX 75160
Phone (972) 522-8524
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBAEDD/Endpoint/FBAEDD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Terrell, TX
- NPI 1790248987
-
dba Hunt Regional
- General Acute Care Hospital
- Greenville, TX
- NPI 1598750721
Family Medicine
-
- Psychiatric Hospital
- Greenville, TX
- NPI 1922078815
-
dba Royse City Medical Lodge
- Skilled Nursing Facility
- Royse City, TX
- NPI 1750833901
-
- Hospitalist Physician
- Lufkin, TX
- NPI 1417256025
-
- Internal Medicine Physician
- Greenville, TX
- NPI 1699981720
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1891839163
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hunt Regional
- General Acute Care Hospital
- Greenville, TX
- NPI 1598750721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555113600000",
"number": "1164616199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 KESTREL CT",
"city": "HEATH",
"state": "TX",
"postal_code": "750322043",
"telephone_number": "214-675-3859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 N ROCKWALL AVE",
"city": "TERRELL",
"state": "TX",
"postal_code": "751602117",
"telephone_number": "972-522-8524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUMBOR",
"first_name": "DAVID",
"middle_name": "OSAGIE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-03",
"last_updated": "2019-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N1032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "OKUMBOR",
"middle_name": "OSAGIE",
"prefix": "DR.",
"credential": "M.D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Terrell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2019; 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.