Active NPI
Kevin Nnaemeka Oguayo, M.D.
- Interventional Cardiology Physician
- Humble, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- Q3564
- Practice address
- 17903 W Lake Houston Pkwy Ste 201
Humble, TX 77346-3954 - Phone
- (281) 446-7173
- Fax
- (832) 644-5459
- NPI assigned
- Jun 28, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Q3564 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | Q3564 | TX | |
| Interventional Cardiology Physician | 207RI0011X | Q3564 | TX | Primary |
Addresses
Primary practice location
17903 W Lake Houston Pkwy Ste 201
Humble, TX 77346-3954
Mailing address
17903 W Lake Houston Pkwy Ste 201
Humble, TX 77346-3954
Phone (281) 446-7173
Other practice location 1
1702 Fm 1960 Bypass Rd E
Humble, TX 77338-3916
Phone (281) 446-7173
Other practice location 2
1819 Clinch Ave Ste 108
Knoxville, TN 37916-2435
Phone (865) 546-5111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q3564 | Other | TX | TMB |
| Q043786 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MO, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Texas Medical Branch at Galveston, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Mercy Way
330 Mercy Clinic Joplin Cardiology
Joplin, MO 64804-4524
Phone (417) 627-9993
17903 W Lake Houston Pkwy
Suite 201
Humble, TX 77346-3954
Phone (281) 446-7173
5231 Brittany Dr
Baton Rouge, LA 70808-9143
Phone (225) 769-0933
Hospital & facility affiliations
- Memorial Hermann Northeast Hospital
- Mercy Hospital Joplin
- HCA Houston Healthcare Kingwood
- Our Lady of the Lake Regional Medical Center
- Baton Rouge General Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibra Physicians LLC | Current | Accepting new patients | |
| Baton Rouge Cardiology Center | Cardiovascular Disease | Current | Accepting new patients |
| Mehta Medical Group PLLC | Internal Medicine | Current | Accepting new patients |
| Heart Clinic, PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Access Telecare, PLLC | Internal Medicine | Current | Accepting new patients |
| Juan Joel Garza, MD PA | Cardiovascular Disease | Past | Accepting new patients |
| McAllen Hospitals L P | Past | Accepting new patients |
Locations
5231 Brittany Dr
Baton Rouge, LA 70808
Phone (725) 767-9867
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
2700 Walker Way
Desoto, TX 75115
Phone (972) 283-5284
1702 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 446-7371
17903 W Lake Houston Pkwy
Ste 201
Humble, TX 77346
Phone (281) 446-7371
9816 Memorial Blvd
Ste 107
Humble, TX 77338
Phone (281) 446-4638
500 E Ridge Rd
Ste 300
McAllen, TX 78503
Phone (956) 428-5522
1900 S D St
McAllen, TX 78503
Phone (956) 994-2000
Interoperability endpoints
- kevin.oguayo@wellspire.eclinicaldirectplus.com
Organizations & group practices 8
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
- Humble, TX
- NPI 1780708321
-
- Cardiovascular Disease Physician
- Baton Rouge, LA
- NPI 1144377102
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
-
- Cardiovascular Disease Physician
- McAllen, TX
- NPI 1437153244
-
- Cardiovascular Disease Physician
- Harlingen, TX
- NPI 1174642698
-
- Cardiac Rehabilitation Clinic/Center
- McAllen, TX
- NPI 1043849425
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1184648651
Hospital
-
- Neurological Surgery Physician
- Baton Rouge, LA
- NPI 1285887844
Hospital
-
- Gastroenterology Physician
- Baton Rouge, LA
- NPI 1407346984
Hospital
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1962537407
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1477849461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17903 W LAKE HOUSTON PKWY STE 201",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773463954",
"telephone_number": "281-446-7173",
"fax_number": "832-644-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17903 W LAKE HOUSTON PKWY STE 201",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773463954",
"telephone_number": "281-446-7173",
"fax_number": "832-644-5459"
}
],
"practiceLocations": [
{
"address_1": "1702 Fm 1960 Bypass Rd E",
"address_purpose": "LOCATION",
"city": "Humble",
"state": "TX",
"postal_code": "773383916",
"country_code": "US",
"telephone_number": "281-446-7173",
"fax_number": "832-644-5459",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1819 Clinch Ave Ste 108",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379162435",
"country_code": "US",
"telephone_number": "865-546-5111",
"fax_number": "865-374-2095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGUAYO",
"first_name": "KEVIN",
"middle_name": "NNAEMEKA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q3564",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "Q3564",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "Q3564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TMB",
"identifier": "Q3564",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q043786",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.