Peter F. Edemekong, MD, MPH

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

T1689 Issued in TX

Practice address

146 E Hospital Dr Ste 205
Utmb Health Pediatric and Adult Primary Care - Angleton
Angleton, TX 77515-4171

Phone

(979) 864-3034

Fax

(979) 864-3054

NPI assigned

Jul 17, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Bay City, TX, CCN 679345
• Accentcare Home Health of Texas Home health agency, Galveston, TX, CCN 679104
• University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pedemekong44365@direct.utmb.edu

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.

• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  Medicare reassignment Care Compare group NPD
• University of Texas Medical Branch at Galveston

  • Community/Retail Pharmacy
  • Friendswood, TX
  • NPI 1699532861
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• E Medical Group, Inc

  • Home Health Agency
  • Bay City, TX
  • NPI 1982609160
  Care Compare affiliation
• Texas Home Health Skilled Services, L.P.

  • Home Health Agency
  • Desoto, TX
  • NPI 1801880554
  Care Compare affiliation
• Texas Home Health Skilled Services,LP

  • Home Health Agency
  • Galveston, TX
  • NPI 1659594737
  Care Compare affiliation
• University of Texas Medical Branch at Galveston

  • General Acute Care Hospital
  • Galveston, TX
  • NPI 1548226988
  Care Compare affiliation

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1649687922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650859",
            "address_2": "DEPT 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75265",
            "telephone_number": "409-772-2222",
            "fax_number": "979-864-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E HOSPITAL DR STE 205",
            "address_2": "UTMB HEALTH PEDIATRIC AND ADULT PRIMARY CARE - ANGLETON",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775154171",
            "telephone_number": "979-864-3034",
            "fax_number": "979-864-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDEMEKONG",
        "first_name": "PETER",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "46672",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "7159",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME130847",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T1689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Gayle Dreyer, CCC-SLP
• Angela Lynn Dunbar, FNP
• Forrest Mann Dunn, D.D.S.
• Tanvi Dusane
• East Broadway Pharmacy LLC
• Godwin Onwordi Elumelu
• John K Erskine, RPH
• Nora Etheridge
• Janine Renee Evans, LPC
• Family Practice Associates of Angleton

• Family Medicine Physician in Angleton, TX
• Providers in Angleton, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.
• 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.