Individual provider Active NPI

Kevin Nnaemeka Oguayo, M.D.

  • Interventional Cardiology Physician
  • Humble, TX
National Provider Identifier
1477849461
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
Q3564 Issued in TX
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

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q3564OtherTXTMB
Q043786MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO, LA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160203002473 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0749584274 Reassigns benefits to 4 organizations
I20190111000701 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 0749584274 Reassigns benefits to 1 organization
I20220309000891 LA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 0749584274 Reassigns benefits to 1 organization

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
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians
Mehta Medical Group PLLCGroup PAC ID 0941236301, 25 clinicians
Baton Rouge Cardiology CenterGroup PAC ID 2163336942, 28 clinicians

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 Hospital, Humble, TX, CCN 450684
  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vibra Physicians LLC CurrentSince Dec 30, 2015 Accepting new patients
Baton Rouge Cardiology Center Cardiovascular Disease CurrentSince Oct 13, 2021 Accepting new patients
Mehta Medical Group PLLC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Heart Clinic, PLLC Cardiovascular Disease CurrentSince Nov 24, 2023 Accepting new patients
Access Telecare, PLLC Internal Medicine CurrentSince Jun 1, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.