Individual provider Active NPI

Ikenna Kingsley Emelogu

  • Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1174010177
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
U9904 Issued in TX
Practice address
4100 S Shepherd Dr
Houston, TX 77098-5316
Phone
(713) 795-4444
NPI assigned
Apr 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U9904 TX
Gastroenterology Physician 207RG0100X U9904 TX Primary

Addresses

Primary practice location

4100 S Shepherd Dr
Houston, TX 77098-5316

Mailing address

PO Box 845347
Dallas, TX 75284-7208

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906004140 TX Practitioner - Gastroenterology 5890198741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4100 S Shepherd Dr
Houston, TX 77098-5316
Phone (832) 255-5681

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U9904TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Internal Medicine CurrentSince Jun 4, 2024 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Aug 8, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Aug 8, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 4, 2024 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

18220 Tomball Pkwy
Ste 290
Houston, TX 77070
Phone (281) 807-6800

4100 S Shepherd Dr
Houston, TX 77098
Phone (713) 524-9800

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1174010177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985316",
            "telephone_number": "713-795-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMELOGU",
        "first_name": "IKENNA",
        "middle_name": "KINGSLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U9904",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "U9904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.