Individual provider Active NPI

Kenneth Iwuji, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Lubbock, TX
National Provider Identifier
1477908903
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
R9225 Issued in TX
Practice address
3601 4TH Street Stop 9410
Lubbock, TX 79430-3419
Phone
(806) 743-7337
NPI assigned
May 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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 R9225 TX
Critical Access Hospital 282NC0060X
Critical Care Medicine (Internal Medicine) Physician 207RC0200X R9225 TX Primary

Addresses

Primary practice location

3601 4TH Street Stop 9410
Lubbock, TX 79430-3419

Mailing address

3601 4TH Street
Stop 9410
Lubbock, TX 79430-3419
Phone (806) 743-7337

Other practice location 1

7104 36th St
Lubbock, TX 79407-1845
Phone (972) 754-9810

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190205000242 TX Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 5597057299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Tech University Health Sciences Center LubbockGroup PAC ID 4385549674, 363 clinicians
Kui Medical Services PLLCGroup PAC ID 7618358623, 2 clinicians

Practice addresses (Care Compare)

3601 4TH St
Lubbock, TX 79430-9410
Phone (806) 743-3150

4005 136TH St
Lubbock, TX 79423-2741
Phone (972) 754-9810

Hospital & facility affiliations

  • Umc Home Health and Hospice, an Amedisys Partner Home health agency, Lubbock, TX, CCN 748008
  • Excelacare Hospice Hospice, Lubbock, TX, CCN 671561
  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • Lubbock Heart Hospital LP Hospital, Lubbock, TX, CCN 450876

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9225TXMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 1, 2022 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 1, 2022 Accepting new patients
Kui Medical Services PLLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Lubbock County Hospital District Past Accepting new patients
Covenant Medical Group Internal Medicine Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

11011 Slide Rd
Lubbock, TX 79424
Phone (806) 743-2584

3601 4th St
Stop 9410
Lubbock, TX 79430
Phone (806) 743-3155

Organizations & group practices 7

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 9

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": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1477908903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH STREET",
            "address_2": "STOP 9410",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794303419",
            "telephone_number": "806-743-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH STREET STOP 9410",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794303419",
            "telephone_number": "806-743-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7104 36th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794071845",
            "country_code": "US",
            "telephone_number": "972-754-9810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWUJI",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R9225",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "R9225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.