Individual provider Active NPI

Chinwe Celestina Nduka, MD

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1316946734
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K6182 Issued in TX
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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 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

IdentifierTypeStateIssuer
147436301MedicaidTX

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
I20100929001409 TX Practitioner - Family Practice 0143346957 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chinwe Nduka MD Family Practice PA Family Medicine CurrentSince Jan 10, 2002 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.