Individual provider Active NPI

Jennifer Ukwu

  • Family Medicine Physician
  • Pearland, TX
National Provider Identifier
1316324452
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R1145 Issued in TX
Practice address
3129 Kingsley Dr Ste 610
Pearland, TX 77584-8508
Phone
(832) 987-3352
Fax
(832) 281-0853
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R1145 TX Primary

Addresses

Primary practice location

3129 Kingsley Dr Ste 610
Pearland, TX 77584-8508

Mailing address

3129 Kingsley Dr Ste 610
Pearland, TX 77584-8508
Phone (832) 987-3352

Other names 1

  • Jennifer Nwankwo Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180808000459 TX Practitioner - Family Practice 2062705510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Botany Wellness PLLCGroup PAC ID 6002280104, 2 clinicians

Practice addresses (Care Compare)

3129 Kingsley Dr
Suite 610
Pearland, TX 77584-8508
Phone (832) 987-3352

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1145TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Family Medicine CurrentSince Mar 30, 2020 Accepting new patients
Botany Wellness, PLLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Clinic at Samsons CurrentSince Mar 1, 2023 Accepting new patients
Memorial Hermann Urgent Care PLLC Family Medicine CurrentSince Apr 3, 2023 Accepting new patients

Locations

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

4500 Washington Ave
Ste 300
Houston, TX 77007
Phone (713) 861-6490

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

10905 Memorial Hermann Dr
Ste 202
Pearland, TX 77584
Phone (713) 340-0345

3129 Kingsley Dr
Ste 610
Pearland, TX 77584
Phone (832) 850-7162

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

1227 Museum Square Dr
Ste A
Sugar Land, TX 77479
Phone (281) 265-8125

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

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

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1316324452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DR STE 610",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848508",
            "telephone_number": "832-987-3352",
            "fax_number": "832-281-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DR STE 610",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848508",
            "telephone_number": "832-987-3352",
            "fax_number": "832-281-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKWU",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R1145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NWANKWO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.