Organization Active NPI

Imperial Digestive Health Specialists PLLC

  • Gastroenterology Physician
  • Katy, TX
National Provider Identifier
1245880426
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
IMPERIAL DIGESTIVE HEALTH SPECIALISTS PLLC
Practice address
23920 Katy Fwy Ste 215
Katy, TX 77494-0881
Phone
(281) 766-0331
Fax
(281) 665-7915
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Dr. Oforbuike Ewelukwa, MDNPI 1891094561
Title
Owner
Phone
(281) 766-0331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

23920 Katy Fwy Ste 215
Katy, TX 77494-0881

Mailing address

23920 Katy Fwy Ste 215
Katy, TX 77494-0881
Phone (281) 766-0331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191227000185 TX Part B Supplier - Clinic/Group Practice 3577997519 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2339146Imperial Digestive Health Specialists PLLC23920 Katy Fwy, # 215, Katy, TX 77494RegistrationFeb 23, 2028

National Provider Directory

National Provider Directory

Locations

23920 Katy Fwy
Ste 215
Katy, TX 77494
Phone 28134726004

23920 Katy Fwy
Ste 200
Katy, TX 77494
Phone (281) 644-3200

3701 Outlet Center Dr
Ste 300
Sealy, TX 77474

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGGJBD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1245880426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY STE 215",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940881",
            "telephone_number": "281-766-0331",
            "fax_number": "281-665-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY STE 215",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940881",
            "telephone_number": "281-766-0331",
            "fax_number": "281-665-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL DIGESTIVE HEALTH SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "EWELUKWA",
        "authorized_official_first_name": "OFORBUIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-766-0331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.