Individual provider Active NPI

Ijeoma Adaeze Oguagha, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1265793822
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S8888 Issued in TX
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

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190206002763 NY Practitioner - Pediatric Medicine 1951605377 Reassigns benefits to 1 organization
I20210216000836 TX Practitioner - Pediatric Medicine 1951605377 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
274675NYMDPediatrics Physician
S8888TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Feb 1, 2021 Accepting new patients
Jamaica Hospital CurrentSince Jul 1, 2019 Accepting new patients
Memorial Hermann Hospital Based Physician Group CurrentSince Mar 21, 2024 Accepting new patients
Bread of Life Pediatrics PLLC Pediatrics CurrentSince Jan 14, 2024 Accepting new patients
Jamaica Hospital CurrentSince Jul 1, 2019 Accepting new patients
Etmc Physician Group Inc. CurrentSince Feb 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.