Active NPI
Ikenna Chimaeze Ogobuiro, DNP, MBA, CRNA, APRN
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1166576
- Practice address
- 1761 Placitas TRL
Fort Worth, TX 76131-1506 - Phone
- (214) 874-8516
- NPI assigned
- Aug 18, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 845025 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 1166576 | TX | Primary |
Addresses
Primary practice location
1761 Placitas TRL
Fort Worth, TX 76131-1506
Mailing address
1761 Placitas TRL
Fort Worth, TX 76131-1506
Phone (214) 874-8516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5501 S McColl Rd
Edinburg, TX 78539-5503
Phone (956) 661-0529
Hospital & facility affiliations
- Doctors Hosptal at Renaissance
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 845025 | TX | MD | Critical Care Medicine Registered Nurse |
| 1166576 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McAllen Anesthesia Consultants, PA | Current | Accepting new patients | |
| Renaissance Medical Foundation | Current | Accepting new patients | |
| Renaissance Specialist Clinic | Current | Accepting new patients | |
| McAllen Anesthesia Consultants, PA | Current | Accepting new patients |
Locations
5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300
5415 S McColl Rd
Edinburg, TX 78539
Phone (956) 661-0529
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Edinburg, TX
- NPI 1841200805
-
- Anesthesiology Physician
- Edinburg, TX
- NPI 1932077013
-
- Anesthesiology Physician
- Edinburg, TX
- NPI 1952311441
-
- Internal Medicine Physician
- Edinburg, TX
- NPI 1467633867
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722124800000",
"number": "1497367882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 PLACITAS TRL",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761311506",
"telephone_number": "214-874-8516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 PLACITAS TRL",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761311506",
"telephone_number": "214-874-8516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGOBUIRO",
"first_name": "IKENNA",
"middle_name": "CHIMAEZE",
"name_prefix": "Dr.",
"credential": "DNP, MBA, CRNA, APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-18",
"last_updated": "2024-07-28",
"certification_date": "2024-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TX",
"license": "845025",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1166576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.