Ebere I Azubuike, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M9136 Issued in TX

Practice address

501 Wynnewood Village
Suite 102a
Dallas, TX 75224-1838

Phone

(214) 942-2377

Fax

(214) 942-2977

NPI assigned

Jun 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Texas Medical Branch at Galveston, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grace Compassion Home Health Agency Home health agency, Dallas, TX, CCN 747729

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/HJGGBD/Endpoint/HJGGBD
• Direct secure messaging: ebere.azubuike@mercy.eclinicaldirectplus.com

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.

• Mercy Family Clinic

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1154560027
  Medicare reassignment NPD Authorized official
• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429
  Medicare reassignment NPD
• Mercy Housecall Physicians Group, LLC

  • Multi-Specialty Clinic/Center
  • Dallas, TX
  • NPI 1326381880
  NPD (past) Authorized official
• Oak Cliff Ophthalmology, P.a.

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1053702936
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gradark Compassion Care Inc

  • Home Health Agency
  • Dallas, TX
  • NPI 1124342670
  Care Compare affiliation

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1275738874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WYNNEWOOD VILLAGE",
            "address_2": "SUITE 102A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75224",
            "telephone_number": "214-942-2377",
            "fax_number": "214-942-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WYNNEWOOD VILLAGE",
            "address_2": "SUITE 102A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241838",
            "telephone_number": "214-942-2377",
            "fax_number": "214-942-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZUBUIKE",
        "first_name": "EBERE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "M9136",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adaorah Azotam, MSN, RN, CPNP-PC
• David Azouz, M.D.
• Solomon Mollik Azouz, M.D.
• Vitali Azouz, M.D
• Anthonia U. Azubogu, CNM
• Ashley Azure
• B & E Optical Inc.
• B & M Medical Supplies LLC
• B Kent Smith DDS PA
• B Kent Smith DDS PA

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.