Individual provider Active NPI

Judith Birungi, MD

  • Surgery Physician
  • Odesa, TX
National Provider Identifier
1609183953
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q9297 Issued in TX
Practice address
540 W 5TH St Ste 400
Odesa, TX 79761
Phone
(432) 580-0300
Fax
(432) 580-0306
NPI assigned
Sep 8, 2010
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Q9297 TX Primary

Addresses

Primary practice location

540 W 5TH St Ste 400
Odesa, TX 79761

Mailing address

540 W 5TH St Ste 400
Odesa, TX 79761
Phone (432) 580-0300

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
I20170420001876 TX Practitioner - General Surgery 1557677432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

540 W 5TH St
400 Judith Birungi MD
Odessa, TX 79761-5002
Phone (432) 580-0300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q9297TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maverick County Hospital District CurrentSince Mar 6, 2017 Accepting new patients
Judith and Uche Egbuta LLC Surgery CurrentSince May 16, 2022 Accepting new patients
Maverick County Hospital District CurrentSince Mar 6, 2017 Accepting new patients

Locations

3406 Bob Rogers Dr
Ste 120
Eagle Pass, TX 78852
Phone (830) 757-4570

540 W 5th St
Ste 400
Odessa, TX 79761
Phone (432) 580-0300

Interoperability endpoints

  • Direct secure messaging: betsy_ross_nursing_home@hiemail.healtheconnections.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BEHDDD/Endpoint/BEHDDD

Organizations & group practices 3

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 2

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1609183953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST STE 400",
            "city": "ODESA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-580-0300",
            "fax_number": "432-580-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST STE 400",
            "city": "ODESA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-580-0300",
            "fax_number": "432-580-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRUNGI",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q9297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.