Active NPI
Ikechukwu A. Osuji, MD
- Internal Medicine Physician
- Desoto, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K6669
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122225912 | Medicaid | TX |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| K6667 | TX | MD | Internal Medicine Physician |
| K6669 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, PA | Internal Medicine | Current | Accepting new patients |
| Ikechukwu Osuji, M.D PA | Current | Accepting new patients | |
| Wellmed Medical Group, P.a. | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
-
- Medical Specialty Clinic/Center
- Desoto, TX
- NPI 1407994056
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
Internal Medicine
-
- Medical Specialty Clinic/Center
- Lewisville, TX
- NPI 1689892374
-
- Clinic/Center
- Gainesville, TX
- NPI 1902317159
-
- Emergency Medicine Physician
- Mesquite, TX
- NPI 1972558401
-
- Home Health Agency
- Dallas, TX
- NPI 1104859719
-
- Diagnostic Radiology Physician
- Plano, TX
- NPI 1952378036
-
- Physician Assistant
- Mesquite, TX
- NPI 1295780757
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.