Ifeanyi Duruewuru, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP141138 Issued in TX

Practice address

3132 Matlock Rd Ste 311
Arlington, TX 76015-2922

Phone

(214) 906-5427

NPI assigned

May 14, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpha Express Urgent CareGroup PAC ID 6800324179, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alpha Express Urgent Care

  • Urgent Care Clinic/Center
  • Grand Prairie, TX
  • NPI 1639993801
  Medicare reassignment Care Compare group NPD
• Alpha Express Primary Care LLC

  • Family Medicine Physician
  • Grand Prairie, TX
  • NPI 1992671184
  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1609432764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 MATLOCK RD STE 311",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152922",
            "telephone_number": "214-906-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 MATLOCK RD STE 311",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152922",
            "telephone_number": "214-906-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURUEWURU",
        "first_name": "IFEANYI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP141138",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP141138",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Durand
• Durbin Family Practice PA
• Sherril Durbin, D.O.
• Sharon Durham
• Shelley Erin Durham, D.O.
• Linda Shelton Dutton, C.N.P.
• Christopher Ryan Dwyer, M.D.
• Dynamic Healthcare Consulting Agency LLC
• Dynamix Adult Day Care Services, LLC.
• David C. Dyslin, M.D

• Family Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.