Individual provider Active NPI

Cletus Emeka Onyiorah, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • San Antonio, TX
National Provider Identifier
1477567758
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
N1035 Issued in TX
Practice address
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone
(210) 704-4100
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 71237 AZ
Pediatrics Physician 208000000X 218857 NY
Emergency Medicine Physician 207P00000X 218857 NY
Pediatrics Physician 208000000X N1035 TX
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X N1035 TX Primary

Addresses

Primary practice location

333 N Santa Rosa
San Antonio, TX 78207-3108

Mailing address

315 N San Saba Ste 1135
San Antonio, TX 78207-3255
Phone (210) 704-8880

Other practice location 1

18101 Lorain Avenue, Cleveland Clinic-Fairview Hospital
Emergency Services
Cleveland, OH 44111-5612
Phone (216) 476-7312

Other identifiers 2

IdentifierTypeStateIssuer
02425914MedicaidNY
200621506MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, GA, FL, AZ5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20040326000009 NY Practitioner - Pediatric Medicine 8325930225 Reassigns benefits to 1 organization
I20090304000110 TX Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 8325930225 Reassigns benefits to 7 organizations
I20150612001622 GA Practitioner - Pediatric Medicine 8325930225 Reassigns benefits to 1 organization
I20150617000605 FL Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 8325930225 Reassigns benefits to 1 organization
I20230912001359 AZ Practitioner - Emergency Medicine 8325930225 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71237AZMDEmergency Medicine Physician
218857NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Baylor College of Medicine Pediatrics CurrentSince Oct 1, 2023 Accepting new patients
Cep America- Arizona, PC Emergency Medicine Current Accepting new patients
Central Georgia Emergency Group, LLC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Memorial Hermann Hospital Based Physician Group Emergency Medicine CurrentSince May 30, 2023 Accepting new patients
Cep America - Arizona PC Emergency Medicine CurrentSince Aug 29, 2023 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Oct 15, 2023 Accepting new patients
Nueces Emergency Medicine Associates PA Emergency Medicine CurrentSince Jul 15, 2024 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Sep 19, 2024 Accepting new patients
FL-I Medical Services, LLC Past Accepting new patients
Singleton Associates PA Past Accepting new patients
Cletus Onyiorah, M.D., P.a. Past Accepting new patients
Abilene Children'S Medical Association, LLP Pediatrics Past Accepting new patients
Fulton Medical Plaza, P.C. Past Accepting new patients

Locations (25 of 26)

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

22430 Grand Corner Dr
#C1100
Katy, TX 77494

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

2555 Gulf Fwy S
#C1100
League City, TX 77573

4002 24th St
Lubbock, TX 79410
Phone (806) 300-3229

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

9250 Pinecroft Dr
#C
Shenandoah, TX 77380

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1477567758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N SAN SABA STE 1135",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073255",
            "telephone_number": "210-704-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18101 Lorain Avenue, Cleveland Clinic-Fairview Hospital",
            "address_2": "Emergency Services",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441115612",
            "country_code": "US",
            "telephone_number": "216-476-7312",
            "fax_number": "956-287-6109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONYIORAH",
        "first_name": "CLETUS",
        "middle_name": "EMEKA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "71237",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "218857",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "218857",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N1035",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "N1035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02425914",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200621506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.