Individual provider Active NPI

Macaulay Ezera Nwojo, M.D.

  • Neurological Surgery Physician
  • Odessa, TX
National Provider Identifier
1639433915
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
R74139 Issued in AZ
Practice address
8050 E Highway 191 Ste 250
Odessa, TX 79765-8613
Phone
(432) 558-7000
NPI assigned
Jul 1, 2012
Last updated
Aug 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X R74139 AZ Primary

Addresses

Primary practice location

8050 E Highway 191 Ste 250
Odessa, TX 79765-8613

Mailing address

8050 E Highway 191 Ste 250
Odessa, TX 79765-8613
Phone (432) 558-7000

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
I20200330000415 TX Practitioner - Neurosurgery 8325477284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Mayo Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians
Macaulay E Nwojo MD PLLCGroup PAC ID 7416386370, 2 clinicians

Practice addresses (Care Compare)

306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806

8050 E Hwy 191
Suite 250
Odessa, TX 79765-8613
Phone (432) 558-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.22 of 100Reported as individual
Quality
64.78
Promoting interoperability
88
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion131
Laminectomy or laminotomy (partial removal of spine bones)74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R74139AZMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Macaulay E Nwojo MD PLLC Neurological Surgery CurrentSince Feb 22, 2019 Accepting new patients

Locations

8050 E Highway 191
Ste 250
Odessa, TX 79765
Phone (432) 558-7000

Interoperability endpoints

  • Direct secure messaging: macaulay.nwojo.1@20843.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1639433915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 E HIGHWAY 191 STE 250",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658613",
            "telephone_number": "432-558-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E HIGHWAY 191 STE 250",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658613",
            "telephone_number": "432-558-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOJO",
        "first_name": "MACAULAY",
        "middle_name": "EZERA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-01",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "R74139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.