Individual provider Active NPI

Valentine Chukwuma Ugwu, MD

  • Family Medicine Physician
  • Pearsall, TX
National Provider Identifier
1629380415
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P8320 Issued in TX
Practice address
612 S Vinton St Ste 101
Pearsall, TX 78061-2245
Phone
(830) 335-7509
Fax
(830) 335-7513
NPI assigned
Jul 8, 2010
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P8320 TX Primary
Obstetrics & Gynecology Physician 207V00000X 000554361I TX

Addresses

Primary practice location

612 S Vinton St Ste 101
Pearsall, TX 78061-2245

Mailing address

612 S Vinton St Ste 101
Pearsall, TX 78061-2245
Phone (830) 505-7509

Other practice location 1

4572 County Road 61
Moose Lake, MN 55767-9401
Phone (218) 485-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140919000728 TX Practitioner - Family Practice 2769601988 Reassigns benefits to 5 organizations
I20250408003217 MN Practitioner - Family Practice 2769601988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

612 S Vinton St
Pearsall, TX 78061-2245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P8320TXMDFamily Medicine Physician
000554361ITXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Oct 1, 2022 Accepting new patients
Scurry County Hospital District CurrentSince Feb 1, 2025 Accepting new patients
Essentia Health Moose Lake CurrentSince Apr 29, 2025 Accepting new patients
VNC Realhealth, PLLC Adult Medicine CurrentSince Mar 2, 2019 Accepting new patients
Essentia Health Moose Lake CurrentSince Apr 29, 2025 Accepting new patients
Hni Medical Services Family Medicine CurrentSince May 25, 2018 Accepting new patients
Scurry County Hospital District CurrentSince Dec 1, 2025 Accepting new patients
Scurry County Hospital District CurrentSince Feb 1, 2025 Accepting new patients
Moose Lake Community Hospital District Current Accepting new patients
Frio Hospital Association Past Accepting new patients
Alfonso H Luevano MD P a Past Accepting new patients

Locations

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

105 E Hackberry St
Ste A
Pearsall, TX 78061
Phone (830) 334-2656

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

1700 Cogdell Blvd
Snyder, TX 79549
Phone (325) 573-6374

1700 Cogdell Blvd
#D
Snyder, TX 79549
Phone (325) 574-7439

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19381/brand/1/csg/1/fhir/r4
  • Direct secure messaging: valentine.ugwu.1@19381.direct.athenahealth.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1629380415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S VINTON ST STE 101",
            "city": "PEARSALL",
            "state": "TX",
            "postal_code": "780612245",
            "telephone_number": "830-505-7509",
            "fax_number": "830-335-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S VINTON ST STE 101",
            "city": "PEARSALL",
            "state": "TX",
            "postal_code": "780612245",
            "telephone_number": "830-335-7509",
            "fax_number": "830-335-7513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4572 County Road 61",
            "address_purpose": "LOCATION",
            "city": "Moose Lake",
            "state": "MN",
            "postal_code": "557679401",
            "country_code": "US",
            "telephone_number": "218-485-2015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGWU",
        "first_name": "VALENTINE",
        "middle_name": "CHUKWUMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8320",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "000554361I",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearsall, TX

Sources for this page

Verify at the official NPI Registry.