Individual provider Active NPI

Thomas Nnamdi Uzuegbunem

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1396501946
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216699 Issued in OK
Practice address
11601 S Western Ave
Oklahoma City, OK 73170-5823
Phone
(405) 691-5208
NPI assigned
Feb 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216699 OK Primary

Addresses

Primary practice location

11601 S Western Ave
Oklahoma City, OK 73170-5823

Mailing address

PO Box 21313
Oklahoma City, OK 73156-1313
Phone (405) 922-0323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20240325003956 OK Practitioner - Nurse Practitioner 1557708658 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Resource Management, LLC CurrentSince Feb 22, 2024 Accepting new patients
Tulsa Emergency Medical Center Inc CurrentSince Feb 22, 2024 Accepting new patients

Locations

11601 S Western Ave
Oklahoma City, OK 73170
Phone (405) 512-6950

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: thomas.uzuegbunemfnp.p8@direct.nextcare.nextgenshare.com
  • Direct secure messaging: thomas.uzuegbunemfnp.p10@direct.nextcare.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1396501946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21313",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731561313",
            "telephone_number": "405-922-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705823",
            "telephone_number": "405-691-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZUEGBUNEM",
        "first_name": "THOMAS",
        "middle_name": "NNAMDI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "216699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.