NPIMap

Individual provider Active NPI

Judith Aniekwena, MD

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1164954640
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S5545 Issued in TX
Practice address
777 S Fry Rd Ste 206
Katy, TX 77450-2297
Phone
(713) 300-3905
Fax
(713) 561-3890
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X S5545 TX
Internal Medicine Physician 207R00000X S5545 TX Primary

Addresses

Primary practice location

777 S Fry Rd Ste 206
Katy, TX 77450-2297

Mailing address

777 S Fry Rd Ste 206
Katy, TX 77450-2297
Phone (713) 300-3905

Other practice location 1

1635 North Loop W
Houston, TX 77008-1532
Phone (713) 867-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200708003860 TX Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Hospitalist 4688097637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

777 S Fry Rd
Suite 206
Katy, TX 77450-2297
Phone (832) 676-0439

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Macie Medical Internal Medicine CurrentSince Oct 7, 2021 Accepting new patients
Memorial Hermann Medical Group Internal Medicine CurrentSince Aug 2, 2020 Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

777 S Fry Rd
Ste 206
Katy, TX 77450
Phone (713) 300-3905

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

Interoperability endpoints

  • FHIR API: https://epicproxy.et1326.epichosted.com/FHIRProxy/MHCC/api/FHIR/R4
  • Direct secure messaging: janiekwena26524@memorialhermann.direct-ci.com

Organizations & group practices 2

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 11

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1164954640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S FRY RD STE 206",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502297",
            "telephone_number": "713-300-3905",
            "fax_number": "713-561-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S FRY RD STE 206",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502297",
            "telephone_number": "713-300-3905",
            "fax_number": "713-561-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 North Loop W",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081532",
            "country_code": "US",
            "telephone_number": "713-867-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANIEKWENA",
        "first_name": "JUDITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "S5545",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S5545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.