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

Sex

Male

Sole proprietor

No

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.

• Interventional Pain Specialists, PLLC

  • Specialist
  • Pasadena, TX
  • NPI 1730440785

  TX

  Medicare reassignment Care Compare group NPD
• Interventional Pain Specialists, PLLC

  • Interventional Pain Medicine Physician
  • Houston, TX
  • NPI 1407358641
  Care Compare group NPD
• North Houston Family Medicine PLLC

  • Family Medicine Physician
  • Spring, TX
  • NPI 1336585397

  TX

  Medicare reassignment
• Interventional Pain Specialists, PLLC

  • Interventional Pain Medicine Physician
  • Texas City, TX
  • NPI 1508368747
  Care Compare group
• 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)

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interventional Pain Specialists PLLC 10 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "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

• All providers in Webster, TX
• 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.