Individual provider Active NPI

Emmanuel Chukwelo Edoka, M.D

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1598857682
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J4786 Issued in TX
Practice address
3708 Jefferson St Ste a
Austin, TX 78731-6206
Phone
(512) 459-6503
Fax
(512) 454-7453
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J4786 TX Primary

Addresses

Primary practice location

3708 Jefferson St Ste a
Austin, TX 78731-6206

Mailing address

3708 Jefferson St Ste a
Austin, TX 78731-6206
Phone (512) 459-6503

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
I20040405000076 TX Practitioner - Internal MedicinePractitioner - Family Practice 0446243828 Reassigns benefits to 3 organizations
Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Central Texas Community Health CentersGroup PAC ID 5395802151, 165 clinicians

Practice addresses (Care Compare)

2901 Montopolis Dr
Austin, TX 78741-6411
Phone (512) 978-9955

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Internal Medicine Current Accepting new patients
Central Texas Community Health Centers CurrentSince Feb 4, 2026 Accepting new patients
Emmanuel Edoka, M.D. Internal Medicine CurrentSince Nov 15, 2001 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Central Texas Community Health Centers Internal Medicine CurrentSince Feb 4, 2026 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Central Texas Community Health Centers Past Accepting new patients
Val Verde County Hospital District Past Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

3708 Jefferson St
Ste A
Austin, TX 78731
Phone (512) 459-6503

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

2901 Montopolis Dr
Austin, TX 78741
Phone (512) 389-1010

3232 E Mlk Jr Blvd
Austin, TX 78721
Phone (512) 477-7076

805 E 32nd St
Ste 103
Austin, TX 78705
Phone (512) 322-0800

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

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

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1598857682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 JEFFERSON ST STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316206",
            "telephone_number": "512-459-6503",
            "fax_number": "512-454-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 JEFFERSON ST STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316206",
            "telephone_number": "512-459-6503",
            "fax_number": "512-454-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOKA",
        "first_name": "EMMANUEL",
        "middle_name": "CHUKWELO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J4786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.