Individual provider Active NPI

Cordell Okezie Nwokeji, MD

  • Urology Physician
  • Kingwood, TX
National Provider Identifier
1235210774
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
M1988 Issued in TX
Practice address
22751 Professional Dr
Suite 270
Kingwood, TX 77339-6021
Phone
(281) 358-0171
Fax
(281) 358-2194
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X M1988 TX Primary

Addresses

Primary practice location

22751 Professional Dr
Suite 270
Kingwood, TX 77339-6021

Mailing address

PO Box 911230
Dept. 183
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 6

IdentifierTypeStateIssuer
185730201MedicaidTX
P01215715OtherTXRAILROAD MEDICARE
8BR410OtherTXBLUE CROSS BLUE SHIELD
185730204MedicaidTX
8F8707OtherTXMEDICARE
185730203MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CORDELL.NWOKEJI@hca9.eclinicaldirectplus.com

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
I20051107000492 TX Practitioner - UrologyPractitioner - General SurgeryPractitioner - Surgical Oncology 2365460581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: General Surgery
Education
Howard University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Specialists of Kingwood, PLLCGroup PAC ID 0143502021, 3 clinicians

Practice addresses (Care Compare)

22999 Hwy 59 N
Kingwood Medical Center
Kingwood, TX 77339-4412
Phone (281) 348-8000

Hospital & facility affiliations

  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Townsen Memorial Hospital Hospital, Humble, TX, CCN 670266
  • CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

Merit-based Incentive Payment System (MIPS)

Final score
90.83 of 100Reported as individual
Quality
81.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection25
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Urology PLLC Urology Current Accepting new patients
Urology Specialists of Kingwood, PLLC Urology CurrentSince Dec 12, 2016 Accepting new patients
Timberland Medical Group Urology Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Premier Urology, PA Urology PastSince Sep 1, 2008 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

22751 Professional Dr
Ste 270
Kingwood, TX 77339
Phone (281) 358-0171

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

215 Kingwood Executive Dr
Ste 250
Kingwood, TX 77339
Phone (281) 358-0171

Organizations & group practices 5

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 4

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1235210774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "address_2": "DEPT. 183",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22751 PROFESSIONAL DR",
            "address_2": "SUITE 270",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396021",
            "telephone_number": "281-358-0171",
            "fax_number": "281-358-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKEJI",
        "first_name": "CORDELL",
        "middle_name": "OKEZIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "M1988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185730201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01215715",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8BR410",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185730204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8F8707",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185730203",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CORDELL.NWOKEJI@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "22751 Professional Dr",
            "address_2": "SUITE 270",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773396021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.