Individual provider Active NPI

Peace Nwegbo-Banks, M.D.

  • Obstetrics & Gynecology Physician
  • Conroe, TX
National Provider Identifier
1629413224
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R4296 Issued in TX
Practice address
17200 St Lukes Way
Conroe, TX 77384-8007
Phone
(936) 266-2000
NPI assigned
May 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 04-47934 KS
Obstetrics & Gynecology Physician 207V00000X R4296 TX Primary

Addresses

Primary practice location

17200 St Lukes Way
Conroe, TX 77384-8007

Mailing address

3139 W Holcombe Blvd Ste 2372
Houston, TX 77025-1533
Phone (832) 324-9260

Other practice location 1

6410 Fannin St Ste 360
Houston, TX 77030-3004
Phone (713) 486-6644

Other practice location 2

310 E Walnut St
Garden City, KS 67846-5572
Phone (620) 275-9752

Other identifiers 1

IdentifierTypeStateIssuer
1629413224MedicaidTX

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
I20171025000887 TX Practitioner - Obstetrics/Gynecology 0345516043 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Obstetrics PLLC Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 2

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1629413224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 W HOLCOMBE BLVD STE 2372",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251533",
            "telephone_number": "832-324-9260",
            "fax_number": "214-617-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 ST LUKES WAY",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773848007",
            "telephone_number": "936-266-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Fannin St Ste 360",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303004",
            "country_code": "US",
            "telephone_number": "713-486-6644",
            "fax_number": "713-383-1413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465572",
            "country_code": "US",
            "telephone_number": "620-275-9752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWEGBO-BANKS",
        "first_name": "PEACE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-47934",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R4296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629413224",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.