Individual provider Active NPI

Ikechukwu A. Osuji, MD

  • Internal Medicine Physician
  • Desoto, TX
National Provider Identifier
1467409078
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K6669 Issued in TX
Practice address
1110 E Pleasant Run Rd
Desoto, TX 75115-4202
Phone
(972) 230-8881
Fax
(972) 230-8810
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K6669 TX Primary

Addresses

Primary practice location

1110 E Pleasant Run Rd
Desoto, TX 75115-4202

Mailing address

1110 E. Pleasant Run Road
Desoto, TX 75115-7401
Phone (214) 454-3637

Other practice location 1

1140 W Main St
Lewisville, TX 75067-3470
Phone (972) 956-5558

Other practice location 2

2700 W Pleasant Run Rd
Suite 200
Lancaster, TX 75146-1079
Phone (972) 230-8881

Other identifiers 1

IdentifierTypeStateIssuer
122225912MedicaidTX

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
I20040102000237 TX Practitioner - Internal Medicine 5294634952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K6667TXMDInternal Medicine Physician
K6669TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Jan 22, 2024 Accepting new patients
Ikechukwu Osuji, M.D PA CurrentSince Oct 1, 2003 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jan 22, 2024 Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
New Heights Homecare Solutions Past Accepting new patients
Motley Emergency Physicians Past Accepting new patients
Adonai Family Health Center L.L.C. Past Accepting new patients
Texas Diagnostic Imaging, P.a. Past Accepting new patients
Gainesville Hospital District Past Accepting new patients

Locations

2440 S Collins St
Ste 140
Arlington, TX 76014
Phone (817) 459-2501

3310 Live Oak St
Ste 30
Dallas, TX 75204
Phone (972) 942-3410

333 N Shiloh Rd
Ste 107
Garland, TX 75042
Phone (945) 260-3205

2700 W Pleasant Run Rd
Ste 200
Lancaster, TX 75146
Phone (817) 203-0870

1140 W Main St
Lewisville, TX 75067
Phone (972) 956-5558

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

201 Ferris Ave
Ste I
Waxahachie, TX 75165
Phone (972) 230-8881

Interoperability endpoints

  • Direct secure messaging: ikechukwu.osuji@wellmed.eclinicaldirectplus.com

Organizations & group practices 9

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467409078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E. PLEASANT RUN ROAD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157401",
            "telephone_number": "214-454-3637",
            "fax_number": "972-230-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E PLEASANT RUN RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154202",
            "telephone_number": "972-230-8881",
            "fax_number": "972-230-8810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750673470",
            "country_code": "US",
            "telephone_number": "972-956-5558",
            "fax_number": "972-230-8810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 W Pleasant Run Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "TX",
            "postal_code": "751461079",
            "country_code": "US",
            "telephone_number": "972-230-8881",
            "fax_number": "972-230-8810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSUJI",
        "first_name": "IKECHUKWU",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122225912",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.