Individual provider Active NPI

Obiyo O Osuchukwu, MBBCH MPH

  • Pain Medicine (Anesthesiology) Physician
  • Tyler, TX
National Provider Identifier
1477901478
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
V9086 Issued in TX
Practice address
1000 S Beckham Ave
Tyler, TX 75701-1908
Phone
(903) 596-3504
Fax
(903) 596-3604
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X V9086 TX Primary

Addresses

Primary practice location

1000 S Beckham Ave
Tyler, TX 75701-1908

Mailing address

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 596-3504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MT, TX3 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
I20231101001917 ME Practitioner - Anesthesiology 4385935907
I20240119003369 MT Practitioner - Anesthesiology 4385935907 Reassigns benefits to 2 organizations
I20251204003954 TX Practitioner - AnesthesiologyPractitioner - Pain Management 4385935907 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians
Texas Ams PLLCGroup PAC ID 9133441769, 143 clinicians

Practice addresses (Care Compare)

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 747-4586

102 W Henderson St
Ut Health Northeast Overton
Overton, TX 75684-1613
Phone (903) 834-0201

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

3011 W Loop 1604
San Antionio, TX 78251-3901
Phone (726) 266-8100

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V9086TXMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ams PLLC Anesthesiology CurrentSince Nov 3, 2025 Accepting new patients
Billings Clinic CurrentSince Apr 2, 2025 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Nov 1, 2025 Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince Dec 1, 2025 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Apr 2, 2025 Accepting new patients
Granite Peak Anesthesiology Consultants Anesthesiology CurrentSince Jul 6, 2024 Accepting new patients
U S Anesthesia Partners of Montana P C Anesthesiology CurrentSince Jan 8, 2024 Accepting new patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince Dec 1, 2025 Accepting new patients
Etmc Physician Group Inc. CurrentSince Nov 1, 2025 Accepting new patients
Etmc Physician Group Inc. CurrentSince Nov 1, 2025 Accepting new patients

Locations

2949 10TH Ave N
Billings, MT 59101

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 587-9202

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

700 Olympic Plaza Cir
Ste 850
Tyler, TX 75701
Phone (903) 595-2441

Organizations & group practices 11

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 11

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1477901478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011908",
            "telephone_number": "903-596-3504",
            "fax_number": "903-596-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011908",
            "telephone_number": "903-596-3504",
            "fax_number": "903-596-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUCHUKWU",
        "first_name": "OBIYO",
        "middle_name": "O",
        "credential": "MBBCH MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "V9086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.