Iheanyi Chuck Maduka, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06602 Issued in TX

Practice address

250 Blossom St Ste 120
Webster, TX 77598-4243

Phone

(713) 973-7246

Fax

(832) 553-1337

NPI assigned

Oct 25, 2010

Last updated

Mar 17, 2018By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interventional Pain Specialists PLLCGroup PAC ID 2769634799, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Interventional Pain Specialists, PLLC

  dba Principle Spine and Pain

  • Specialist
  • Pasadena, TX
  • NPI 1730440785
  Medicare reassignment Care Compare group NPD
• North Houston Family Medicine PLLC

  • Family Medicine Physician
  • Spring, TX
  • NPI 1336585397
  Medicare reassignment
• Interventional Pain Specialists, PLLC

  • Interventional Pain Medicine Physician
  • Houston, TX
  • NPI 1407358641
  NPD
• Cypresswood Physicians PLLC

  • Hospitalist Physician
  • Spring, TX
  • NPI 1043605785
  NPD (past)
• Durrani Pain Medicine PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Humble, TX
  • NPI 1932904679
  NPD (past)

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245530146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM ST STE 120",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984243",
            "telephone_number": "713-973-7246",
            "fax_number": "832-553-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM ST STE 120",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984243",
            "telephone_number": "713-973-7246",
            "fax_number": "832-553-1337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8333 Beechnut St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770366853",
            "country_code": "US",
            "telephone_number": "713-776-9901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8333 Beechnut St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770366853",
            "country_code": "US",
            "telephone_number": "713-776-9901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADUKA",
        "first_name": "IHEANYI",
        "middle_name": "CHUCK",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean D Macgregor, RBT
• Emily Elizabeth Machann, AGPCNP-C
• Laurel Jill Machen, LCSW
• Safi Butros Madain, DO
• Christi Leann Madsen, AUD
• Jenna Bates Maffei, MD
• Stephen M Magers, D.D.S., M.S.
• Kaleigh Magnant
• Rabia Salman Mahfooz, MD
• Khalid Mahmood, MD

• Medical Physician Assistant in Webster, TX
• Providers in Webster, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.