Active NPI
Obinna Anthony Ndum Jr., M.D., M.B.A.
- Emergency Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R2689
- Practice address
- 7600 Beechnut St
Houston, TX 77074 - Phone
- (713) 456-5000
- NPI assigned
- Jun 21, 2013
- Last updated
- Sep 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R2689 | TX | Primary |
Addresses
Primary practice location
7600 Beechnut St
Houston, TX 77074
Mailing address
2727 Travis St Apt 728
Houston, TX 77006-3533
Phone (301) 437-8930
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2689 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Hospital Based Physician Group | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| Memorial Hermann Health System | Past | Accepting new patients |
Locations
27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000
14201 E Sam Houston Pkwy N
Ste 100
Houston, TX 77044
Phone (281) 436-8854
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
4533 Kingwood Dr
Ste C1
Kingwood, TX 77345
2555 Gulf Fwy S
League City, TX 77573
Phone (832) 932-9850
2555 Gulf Fwy S
#C1100
League City, TX 77573
2555 Gulf Fwy S
Ste C1100
League City, TX 77573
Phone (832) 932-9850
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100
16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
9250 Pinecroft Dr
#C
Shenandoah, TX 77380
9950 Woodlands Pkwy
The Woodlands, TX 77382
Phone (281) 719-3333
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1295363497
-
dba Memorial Hermann Pharmacy-TMC
- Community/Retail Pharmacy
- Houston, TX
- NPI 1366229619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1649619719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 TRAVIS ST APT 728",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770063533",
"telephone_number": "301-437-8930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 BEECHNUT ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77074",
"telephone_number": "713-456-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDUM",
"first_name": "OBINNA",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D., M.B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-21",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "R2689",
"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 Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.