Individual provider Active NPI

Chikosolu Ijeabalum Iwobi, NP

  • Acute Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1538732268
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1036686 Issued in TX
Practice address
7787 Southwest Fwy
Houston, TX 77074-1801
Phone
(713) 456-5000
NPI assigned
Jul 20, 2021
Last updated
Mar 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1036686 TX Primary
Registered Nurse 163W00000X 885364 TX

Addresses

Primary practice location

7787 Southwest Fwy
Houston, TX 77074-1801

Mailing address

7787 Southwest Fwy
Houston, TX 77074-1801

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820001628 TX Practitioner - Nurse Practitioner 3678001666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Pulmonary and Sleep Disorders Associates P aGroup PAC ID 2365580438, 27 clinicians

Practice addresses (Care Compare)

10837 Katy Fwy
Suite 250
Houston, TX 77079-2205
Phone (713) 464-9099

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
885364TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kolin Angels Home Health LLC CurrentSince Aug 29, 2024 Accepting new patients
Memorial Pulmonary and Sleep Disorders Associates P a CurrentSince Jul 7, 2025 Accepting new patients
Cohexa Health PLLC CurrentSince Oct 13, 2024 Accepting new patients
TMH Physician Associates PLLC PastSince Jul 7, 2025 Accepting new patients

Locations

10837 Katy Fwy
Ste 250
Houston, TX 77079
Phone (713) 464-8099

21230 Kingsland Blvd
Ste 400
Katy, TX 77450
Phone (281) 815-8205

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Kolin Angels Home HealthKaty, TX, CCN 748162 Home health agency 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee
Aug 29, 2024
Aug 29, 2024

Owned or controlled facilities with NPI records 1

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1538732268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7787 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7787 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741801",
            "telephone_number": "713-456-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWOBI",
        "first_name": "CHIKOSOLU",
        "middle_name": "IJEABALUM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1036686",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "885364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.