Active NPI
Oluchi Ozumba, MD
- Pain Medicine (Anesthesiology) Physician
- Ennis, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- Q0682
- Practice address
- 601 S Clay St Ste 104
Ennis, TX 75119-5771 - Phone
- (443) 418-4667
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD435554 | PA | |
| Pain Medicine Physician | 208VP0000X | 47813 | KY | |
| Interventional Pain Medicine Physician | 208VP0014X | MD435554 | PA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Q0682 | TX | Primary |
Addresses
Primary practice location
601 S Clay St Ste 104
Ennis, TX 75119-5771
Mailing address
752 N Main St Unit 1386
Mansfield, TX 76063-3293
Phone (443) 418-4667
Other practice location 1
1721 Nicholasville Rd
Sute 300
Lexington, KY 40503-1428
Phone (859) 252-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100317560 | Medicaid | KY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Wright State University Boonshoft School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 S Clay St
Suite 104
Ennis, TX 75119-5771
Phone (443) 418-4667
Hospital & facility affiliations
- Medical City Arlington
- Methodist Mansfield Medical Center
- Texas Health Arlington Memorial Hospital
- Texas Health Hospital Mansfield
- Ut of Texas Southwestern University Hospital - William P. Clements Jr.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q0682 | TX | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vip Healthcare, PLLC | Current | Accepting new patients | |
| Oluchi Ozumba MD PA | Pain Medicine | Current | Accepting new patients |
| Carlisle Hma Physician Management, LLC | Past | Accepting new patients |
Locations
601 S Clay St
Ste 104
Ennis, TX 75119
Phone (972) 875-6600
752 N Main St
Unit 1386
Mansfield, TX 76063
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 and National Provider Directory roles.
-
- Pain Medicine Physician
- Ennis, TX
- NPI 1285279158
-
- Internal Medicine Physician
- Ennis, TX
- NPI 1346643566
-
- Infectious Disease Physician
- Lancaster, PA
- NPI 1649324963
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1134172406
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1174533343
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1356960132
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1285798918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1659412591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 N MAIN ST UNIT 1386",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633293",
"telephone_number": "443-418-4667",
"fax_number": "859-252-3073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S CLAY ST STE 104",
"city": "ENNIS",
"state": "TX",
"postal_code": "751195771",
"telephone_number": "443-418-4667"
}
],
"practiceLocations": [
{
"address_1": "1721 Nicholasville Rd",
"address_2": "Sute 300",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405031428",
"country_code": "US",
"telephone_number": "859-252-6500",
"fax_number": "859-252-3075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OZUMBA",
"first_name": "OLUCHI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2022-10-12",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "MD435554",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "KY",
"license": "47813",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "PA",
"license": "MD435554",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "Q0682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100317560",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ennis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.