Organization Active NPI

Chinyere N. Awa, MD, PA

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1639385115
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
L7651 Issued in TX
Legal business name
CHINYERE N. AWA, MD, PA
Practice address
6300 Westpark Dr Ste 212
Houston, TX 77057-7207
Phone
(713) 541-4442
Fax
(713) 541-4567
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Chinyere Nnenna Awa, MDNPI 1669415279
Title
Physician
Phone
(713) 541-4442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X L7651 TX Primary

Addresses

Primary practice location

6300 Westpark Dr Ste 212
Houston, TX 77057-7207

Mailing address

6300 Westpark Dr Ste 212
Houston, TX 77057-7207
Phone (713) 541-4442

Other identifiers 1

IdentifierTypeStateIssuer
195126101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070531000547 TX Part B Supplier - Clinic/Group Practice 2163520040 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1100315Chinyere N Awa, MD, PA6300 Westpark, Ste 212, Houston, TX 77057Certificate of waiverJun 2, 2027

National Provider Directory

National Provider Directory

Locations

6300 Westpark Dr
Ste 212
Houston, TX 77057
Phone (713) 339-2273

6671 Southwest Fwy
Ste 490
Houston, TX 77074
Phone (713) 988-4711

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1639385115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WESTPARK DR STE 212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577207",
            "telephone_number": "713-541-4442",
            "fax_number": "713-541-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WESTPARK DR STE 212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577207",
            "telephone_number": "713-541-4442",
            "fax_number": "713-541-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINYERE N. AWA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "AWA",
        "authorized_official_first_name": "CHINYERE",
        "authorized_official_middle_name": "NNENNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-541-4442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "L7651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195126101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.