Organization Active NPI

Kalu I Ogbonnaya, M.D., P.a..

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1649470253
Registry record updated Jul 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G7415 Issued in TX
Legal business name
KALU I OGBONNAYA, M.D., P.A..
Practice address
9888 Bissonnet St Ste 160
Houston, TX 77036-8039
Phone
(713) 272-3780
NPI assigned
Jul 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2007

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

Authorized official

Name
Mrs. Sandra J Melgar
Title
Billing Manager
Phone
(713) 628-3033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G7415 TX Primary

Addresses

Primary practice location

9888 Bissonnet St Ste 160
Houston, TX 77036-8039

Mailing address

9888 Bissonnet St Ste 160
Houston, TX 77036-8039
Phone (713) 272-3780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000078 TX Part B Supplier - Clinic/Group Practice 8729057534 Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

9888 Bissonnet St
Ste 160
Houston, TX 77036
Phone (713) 272-3780

Practitioners & affiliated clinicians

Practitioners 4

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": "1184976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184976000000",
    "number": "1649470253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 BISSONNET ST STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368039",
            "telephone_number": "713-272-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 BISSONNET ST STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368039",
            "telephone_number": "713-272-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALU I OGBONNAYA, M.D., P.A..",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-21",
        "last_updated": "2007-07-21",
        "status": "A",
        "authorized_official_last_name": "MELGAR",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "713-628-3033",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G7415",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.