Active NPI
Chinwe Celestina Nduka, MD
- Family Medicine Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K6182
- Practice address
- 125 W Hague Rd Ste 140
El Paso, TX 79902-5811 - Phone
- (915) 774-0458
- Fax
- (915) 774-0027
- NPI assigned
- Jul 18, 2005
- Last updated
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K6182 | TX | Primary |
Addresses
Primary practice location
125 W Hague Rd Ste 140
El Paso, TX 79902-5811
Mailing address
125 W Hague Rd Ste 140
El Paso, TX 79902-5811
Phone (915) 774-0458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147436301 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3515 Gateway Blvd W
Eckland Medical Clinic
El Paso, TX 79903-4413
Phone (915) 774-0458
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chinwe Nduka MD Family Practice PA | Family Medicine | Current | Accepting new patients |
Locations
125 W Hague Rd
Ste 140
El Paso, TX 79902
Phone (915) 774-0458
3515 Gateway Blvd W
El Paso, TX 79903
Phone (915) 440-4981
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEHABD/Endpoint/HEHABD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eckland Medical Clinic
- Family Medicine Physician
- El Paso, TX
- NPI 1568646636
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- El Paso, TX
- NPI 1487079901
-
- Home Health Agency
- El Paso, TX
- NPI 1730333519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1316946734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 W HAGUE RD STE 140",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025811",
"telephone_number": "915-774-0458",
"fax_number": "915-774-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W HAGUE RD STE 140",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025811",
"telephone_number": "915-774-0458",
"fax_number": "915-774-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDUKA",
"first_name": "CHINWE",
"middle_name": "CELESTINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K6182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147436301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.