Individual provider Active NPI

Chinyere Odu, MD

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1205084316
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N8330 Issued in TX
Practice address
6842 Main St Ste 203
Frisco, TX 75033-4243
Phone
(469) 633-9300
Fax
(469) 633-9301
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N8330 TX Primary

Addresses

Primary practice location

6842 Main St Ste 203
Frisco, TX 75033-4243

Mailing address

6638 Mountain Sky Rd
Frisco, TX 75036-1322

Other practice location 1

1400 N Coit Rd Ste 302
McKinney, TX 75071-6656
Phone (888) 803-3370

Other identifiers 1

IdentifierTypeStateIssuer
N8330OtherTXTX LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan G. Johnson MD, PA Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Alamo City Medical Group, PLLC PastSince Apr 1, 2013 Accepting new patients
Community Medicine Associates Internal Medicine PastSince Mar 22, 2020 Accepting new patients

Locations

6842 Main St
Ste 203
Frisco, TX 75033
Phone (469) 633-9300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1205084316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6638 MOUNTAIN SKY RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750361322",
            "fax_number": "469-633-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 MAIN ST STE 203",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334243",
            "telephone_number": "469-633-9300",
            "fax_number": "469-633-9301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Coit Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750716656",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODU",
        "first_name": "CHINYERE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N8330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE NUMBER",
            "identifier": "N8330",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.