Individual provider Active NPI

Obiora Emmanuel Egbuche, MD

  • Interventional Cardiology Physician
  • El Paso, TX
National Provider Identifier
1164818464
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
T5552 Issued in TX
Practice address
1368 N Zaragoza Rd, BLDG a, Suite a
El Paso, TX 79936-8030
Phone
(915) 615-7155
Fax
(915) 615-3948
NPI assigned
Apr 13, 2015
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 56702 KY
Cardiovascular Disease Physician 207RC0000X MD-52370 IA
Cardiovascular Disease Physician 207RC0000X T5552 TX
Interventional Cardiology Physician 207RI0011X 56702 KY
Interventional Cardiology Physician 207RI0011X MD-52370 IA
Interventional Cardiology Physician 207RI0011X T5552 TX Primary

Addresses

Primary practice location

1368 N Zaragoza Rd, BLDG a, Suite a
El Paso, TX 79936-8030

Mailing address

1368 N Zaragoza Rd
Building a, Suite a
El Paso, TX 79936-8030
Phone (915) 615-7155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TX, IA, GA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20220727003029 KY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9335490101 Reassigns benefits to 1 organization
I20231222002324 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335490101 Reassigns benefits to 1 organization
I20240313003214 IA Practitioner - Cardiovascular Disease (Cardiology) 9335490101
I20251002004064 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335490101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1368 N Zaragoza Rd
Suite a BLDG a
El Paso, TX 79936-8030
Phone (915) 615-7155

1510 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 845-3905

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 880-7222

1602 Vernon Rd
Lagrange, GA 30240-4129

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56702KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital, Iowa City, Iowa Cardiovascular Disease CurrentSince Jan 24, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
T J Samson Community Hospital Cardiovascular Disease CurrentSince Jul 11, 2022 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Piccadilly Cardiovascular Access Cardiovascular Disease CurrentSince Dec 12, 2023 Accepting new patients
Cardiac Imaging Inc CurrentSince Sep 16, 2024 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-2633

200 Hawkins Dr
#H
Iowa City, IA 52242

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

540 E Jefferson St
Ste 400
Iowa City, IA 52245
Phone (319) 339-3400

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4430

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1201 E Schuster Ave
Bldg 7
El Paso, TX 79902
Phone (915) 229-6448

1368 N Zaragoza Rd
Bldg A-A
El Paso, TX 79936
Phone (915) 307-6721

2400 Trawood Dr
El Paso, TX 79936
Phone (915) 577-8000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDEEDD/Endpoint/BDEEDD

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1164818464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 N ZARAGOZA RD",
            "address_2": "BUILDING A, SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368030",
            "telephone_number": "915-615-7155",
            "fax_number": "915-615-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 N ZARAGOZA RD, BLDG A, SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368030",
            "telephone_number": "915-615-7155",
            "fax_number": "915-615-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBUCHE",
        "first_name": "OBIORA",
        "middle_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "56702",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "MD-52370",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "T5552",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "56702",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IA",
            "license": "MD-52370",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "T5552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.