Kenechukwu O Eneli, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-107495 Issued in IL

Practice address

800 W Central Texas Expy
125
Harker Heights, TX 76548-1899

Phone

(254) 618-1050

Fax

(254) 618-1058

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Comanche County Medical Center Hospital, Comanche, TX, CCN 451382
• Eastland Memorial Hospital Hospital, Eastland, TX, CCN 671303
• Limestone Medical Center Hospital, Groesbeck, TX, CCN 451303

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment Care Compare group NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment Care Compare group NPD
• Comanche County Medical Center Company

  • Critical Access Hospital
  • Comanche, TX
  • NPI 1346544616
  Medicare reassignment NPD
• Comanche County Medical Center Company

  • Community/Retail Pharmacy
  • Rising Star, TX
  • NPI 1679174882
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Comanche County Medical Center Company

  • Critical Access Hospital
  • Comanche, TX
  • NPI 1346544616
  Care Compare affiliation
• Eastland Memorial Hospital District

  • Critical Access Hospital
  • Eastland, TX
  • NPI 1437851680
  Care Compare affiliation
• South Limestone Hospital District

  • Critical Access Hospital
  • Groesbeck, TX
  • NPI 1861487779
  Care Compare affiliation

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1235151192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL TEXAS EXPY",
            "address_2": "125",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481899",
            "telephone_number": "254-618-1050",
            "fax_number": "254-618-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL TEXAS EXPY",
            "address_2": "125",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481899",
            "telephone_number": "254-618-1050",
            "fax_number": "254-618-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENELI",
        "first_name": "KENECHUKWU",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-107495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "N4399",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Elliott
• Emctx, Inc
• Empathy&Grace LLC
• Randi Rhea Enderle
• Endodontic Associates Harker Heights
• Deon Eniayewu
• Stephanie Eppard, RBT
• Equuslibrium PC
• Ian Erickson
• Nicole Erickson, P.T.

• Family Medicine Physician in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.