Blossom Chibuokem Onaghise, D.O

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

P9673 Issued in TX

Practice address

2831 E President George Bush Hwy Ste 225
Richardson, TX 75082-3561

Phone

(214) 343-6663

Fax

(214) 343-2814

NPI assigned

Apr 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Blossom Chibuokem Okafor Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Magella Medical Associates Billing, Inc.

  dba Magella Medical Associates

  • Neonatal-Perinatal Medicine Physician
  • Round Rock, TX
  • NPI 1083631071
  Medicare reassignment NPD
• Methodist Hospitals of Dallas

  dba Methodist Richardson Medical Center

  • General Acute Care Hospital
  • Richardson, TX
  • NPI 1033165501
  NPD (past)

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1215227475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E SPRING CREEK PKWY.",
            "address_2": "STE. 110, #319",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75074",
            "telephone_number": "214-343-6663",
            "fax_number": "214-343-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 E PRESIDENT GEORGE BUSH HWY STE 225",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823561",
            "telephone_number": "214-343-6663",
            "fax_number": "214-343-2814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Forest Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752302571",
            "country_code": "US",
            "telephone_number": "214-343-6663",
            "fax_number": "214-343-2814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONAGHISE",
        "first_name": "BLOSSOM",
        "middle_name": "CHIBUOKEM",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP1-0039534",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "P9673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLOSSOM",
            "last_name": "OKAFOR",
            "middle_name": "CHIBUOKEM",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Neonatal-Perinatal Medicine Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Neonatal-Perinatal Medicine Physician in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.