Individual provider Active NPI

Doris Adediwura Obaze, FNP

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1457729287
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128761 Issued in TX
Practice address
15415 Waumsley Way
Sugar Land, TX 77498-7573
Phone
(713) 205-7328
Fax
(713) 777-5034
NPI assigned
Sep 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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 AP128761 TX Primary

Addresses

Primary practice location

15415 Waumsley Way
Sugar Land, TX 77498-7573

Mailing address

15415 Waumsley Way
Sugar Land, TX 77498-7573
Phone (713) 205-7328

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230208000974 TX Practitioner - Nurse Practitioner 2365516457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Family Physicians PAGroup PAC ID 4688770472, 11 clinicians

Practice addresses (Care Compare)

8313 Southwest Fwy
Suite 105
Houston, TX 77074-1612
Phone (713) 773-1102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128761TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livelong Health Care Services, Inc CurrentSince Oct 19, 2020 Accepting new patients
Houston Family Physicians PA CurrentSince Jan 1, 2024 Accepting new patients
Katy Gaston Urgent Care PLLC CurrentSince Jan 3, 2023 Accepting new patients

Locations

8313 Southwest Fwy
Ste 105
Houston, TX 77074
Phone (713) 773-1102

8968 Kirby Dr
Houston, TX 77054
Phone (713) 492-0433

6940 Katy Gaston Rd
Katy, TX 77494
Phone (832) 425-3773

2743 Smith Ranch Rd
Ste 2401
Pearland, TX 77584
Phone (713) 773-1102

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Livelong Health Care Services, IncHouston, TX, CCN 747278 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
Corporate Director
W-2 Managing Employee
Operational/Managerial Control
Jan 16, 2008
Sep 19, 2007
Jan 16, 2008
Sep 19, 2007
Sep 19, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1457729287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15415 WAUMSLEY WAY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987573",
            "telephone_number": "713-205-7328",
            "fax_number": "713-777-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15415 WAUMSLEY WAY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987573",
            "telephone_number": "713-205-7328",
            "fax_number": "713-777-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAZE",
        "first_name": "DORIS",
        "middle_name": "ADEDIWURA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.