Ella Ifeoma Duru, P. A

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA07794 Issued in TX

Practice address

10111 Richmond Ave
Suite 400
Houston, TX 77042-4215

Phone

(713) 581-7084

NPI assigned

Apr 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Mufaddal Medical Consulting PLLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1891253381
  Medicare reassignment

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1336406990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 RICHMOND AVE",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770424215",
            "telephone_number": "713-581-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 RICHMOND AVE",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770424215",
            "telephone_number": "713-581-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURU",
        "first_name": "ELLA",
        "middle_name": "IFEOMA",
        "credential": "P. A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07794",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Lee Durrett, DC
• Zachary Durst
• Justin Durtschi
• Duru Finest Moving and Hauling LLC
• Agatha Ogechi Duru, AGNP
• Geoffrey Chukwunonso Duru
• Victoria Duru
• Magdalene Oniy Durueke
• Andrea Duruewuru
• Ursulla C Duruewuru, PMHNP

• Medical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.