Chukwuma C Osuagwu

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M4412 Issued in TX

Practice address

1015 W Centerville Rd
Suite 118
Garland, TX 75041-5914

Phone

(214) 758-0332

Fax

(214) 758-0636

NPI assigned

Oct 3, 2006

Last updated

Jul 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of Texas Southwestern Medical School at Dallas, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holding Hands Hospice Hospice, Dallas, TX, CCN 741587

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmccosuag@yourcarecommunity.org
• FHIR API: https://api.platform.athenahealth.com/8326/brand/1/csg/1/fhir/r4
• Direct secure messaging: chukwuma.osuagwu.1@8326.direct.athenahealth.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Healthcor Capital LLC

  dba Holding Hands Hospice

  • Community Based Hospice Care Agency
  • Dallas, TX
  • NPI 1326395617

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Hospice Angels, LLC.

  • Community Based Hospice Care Agency
  • Garland, TX
  • NPI 1811509672

  Contracted Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C3 Wellness Medical McKinney SB PLLC

  • Multi-Specialty Clinic/Center
  • Lucas, TX
  • NPI 1982559605
  Medicare reassignment NPD Authorized official
• Chukwuma Osuagwu MD PA

  dba Centerville Medical Center

  • Internal Medicine Physician
  • Garland, TX
  • NPI 1821410523
  Medicare reassignment NPD Authorized official
• Servants Approach Consulting LLC

  • Nurse Practitioner
  • El Paso, TX
  • NPI 1699374819
  Medicare reassignment NPD
• Premier Housecall Physicians LLC

  • Internal Medicine Physician
  • Garland, TX
  • NPI 1376814616
  Authorized official Same address or phone
• Roots Pharmacy LLC

  dba EastLake Pharmacy

  • Community/Retail Pharmacy
  • El Paso, TX
  • NPI 1558078634
  NPD (past)

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

• Healthcor Capital LLC

  dba Holding Hands Hospice

  • Community Based Hospice Care Agency
  • Dallas, TX
  • NPI 1326395617
  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1487748661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W CENTERVILLE RD",
            "address_2": "SUITE 118",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415914",
            "telephone_number": "214-758-0332",
            "fax_number": "214-758-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W CENTERVILLE RD",
            "address_2": "SUITE 118",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415914",
            "telephone_number": "214-758-0332",
            "fax_number": "214-758-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUAGWU",
        "first_name": "CHUKWUMA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIS",
            "identifier": "M4412",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lissette Carla Ortega, DDS
• Luis Raul Ortiz Gomez, DC
• Louisa Napali Ortiz Loenneker, LMSW
• Raynaldo Rivera Ortiz Jr., MD
• Katerina Oskolkoff, LPC ASSOCIATE
• Susan Adetokunbo Osude, PHARM.D.
• Olivia Nneka Osueke
• Our Family Doctor, P. a.
• Our Season Family Services, Inc
• Our Season Family Services, Inc.

• Internal Medicine Physician in Garland, TX
• Providers in Garland, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.