NPIMap

Individual provider Active NPI

Andrew E Anyadiegwu, MD

  • Pulmonary Disease Physician
  • Cleburne, TX
National Provider Identifier
1437181542
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD426941 Issued in PA
Practice address
203 Walls Dr
Suite 208
Cleburne, TX 76033-7022
Phone
(817) 641-0808
NPI assigned
Jul 7, 2006
Last updated
May 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD 426941 PA
Pulmonary Disease Physician 207RP1001X MD426941 PA Primary

Addresses

Primary practice location

203 Walls Dr
Suite 208
Cleburne, TX 76033-7022

Mailing address

203 Walls Dr
Suite 208
Cleburne, TX 76033-7022
Phone (817) 641-0808

Other identifiers 1

IdentifierTypeStateIssuer
101434984MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000844 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 5597794099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

203 Walls Dr
Suite 208
Cleburne, TX 76033-7029
Phone (817) 641-0808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.98 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 426941PAMDCritical Care Medicine (Internal Medicine) Physician
MD426941PAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Pulmonary Assoc. Pulmonary Disease CurrentSince Nov 1, 2007 Accepting new patients

Locations

203 Walls Dr
Ste 208
Cleburne, TX 76033
Phone (817) 641-0266

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 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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1437181542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WALLS DR",
            "address_2": "SUITE 208",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337022",
            "telephone_number": "817-641-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WALLS DR",
            "address_2": "SUITE 208",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337022",
            "telephone_number": "817-641-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYADIEGWU",
        "first_name": "ANDREW",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD 426941",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD426941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101434984",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.