Active NPI
Ijeoma Adaeze Oguagha, M.D.
- Pediatrics Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- S8888
- Practice address
- 13111 Westheimer Rd Ste 250
Houston, TX 77077-5520 - Phone
- (346) 635-9028
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 274675 | NY | |
| Pediatrics Physician | 208000000X | S8888 | TX | Primary |
Addresses
Primary practice location
13111 Westheimer Rd Ste 250
Houston, TX 77077-5520
Mailing address
7206 Autumn Sun Dr
Houston, TX 77083-6900
Phone (646) 797-7479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274675 | NY | MD | Pediatrics Physician |
| S8888 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Memorial Hermann Hospital Based Physician Group | Current | Accepting new patients | |
| Bread of Life Pediatrics PLLC | Pediatrics | Current | Accepting new patients |
| Jamaica Hospital | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Starks Medical | Past | Accepting new patients | |
| Borough Heart & Vascular Care P.C | Past | Accepting new patients | |
| Geo Medical Care PC | Pediatrics | Past | Accepting new patients |
Locations
11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
704 Davis St
Carthage, TX 75633
Phone (903) 694-4824
409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841
702 Davis St
Carthage, TX 75633
Phone (903) 693-3841
305 Cottage Rd
Carthage, TX 75633
Phone (903) 690-9100
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439
13111 Westheimer Rd
Ste 250
Houston, TX 77077
Phone (281) 759-2626
23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000
2555 Gulf Fwy S
#C1100
League City, TX 77573
16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000
9250 Pinecroft Dr
#C
Shenandoah, TX 77380
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
Interoperability endpoints
- ioguagha219864@cookchildrens.direct-ci.com
Organizations & group practices 9
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.
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Pediatrics Physician
- Houston, TX
- NPI 1053003368
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1295363497
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- Primary Care Nurse Practitioner
- Bullard, TX
- NPI 1306570593
-
- Clinic/Center
- Brooklyn, NY
- NPI 1609236637
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1487655031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1265793822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7206 AUTUMN SUN DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770836900",
"telephone_number": "646-797-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13111 WESTHEIMER RD STE 250",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770775520",
"telephone_number": "346-635-9028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUAGHA",
"first_name": "IJEOMA",
"middle_name": "ADAEZE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "274675",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "S8888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.