Chinonso Akintomowo, PA-C
Individual provider Active NPI Physician Assistant · Euless, TX
NPI 1588134530 · NPPES record last updated Nov 5, 2025
Key facts
- NPI
- 1588134530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA12528 (TX)
- Practice address
- 910 N Main St
Euless, TX 76039-3355 - Phone
- (817) 358-5870
- Fax
- (817) 546-8672
- NPI assigned
- Dec 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Medical Clinic of North Texas, PLLC
Wellmed Medical Group PA
Practice addresses (Care Compare)
1305 Airport Fwy
Suite 220
Bedford, TX 76021-6606
Phone (817) 358-5800
526 E Pleasant Run
Wellmed at Heath Creek
Desoto, TX 75115-4002
Phone (972) 223-4420
6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411
809 W Randol Mill Rd
Arlington, TX 76012-2507
Phone (817) 460-0257
900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000
Hospital & facility affiliations
- Methodist Charlton Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190411001925 | TX | Practitioner - Physician Assistant | 3072854439 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA12528 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Clinic of North Texas, PLLC | Single Specialty | Current |
Accepting new patients |
| Medical Clinic of North Texas PLLC | Current |
Accepting new patients | |
| Wellmed Medical Group, PA | Single Specialty | Current |
Accepting new patients |
Locations
1305 Airport Fwy
Ste 320
Bedford, TX 76021
Phone (817) 545-0662
526 E Pleasant Run Rd
Desoto, TX 75115
Phone (214) 946-9898
910 N Main St
Euless, TX 76039
Phone (817) 358-3552
900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
Interoperability endpoints
- chinonso.nnaji@wellmed.eclinicaldirectplus.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12528 | TX | Yes |
| Family Medicine Physician |
207Q00000X | PA12528 | TX |
Addresses
Primary practice location
910 N Main St
Euless, TX 76039-3355
Mailing address
910 N Main St
Euless, TX 76039-3355
Phone (817) 358-5870
Other providers in Euless, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.