Individual provider Active NPI

Emelike Uchechi Agomo, MD

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1659575249
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
BP2-0026299 Issued in TX
Practice address
2000 Crawford St
Ste 900
Houston, TX 77002-9011
Phone
(713) 651-0870
Fax
(713) 651-1239
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X BP2-0026299 TX Primary

Addresses

Primary practice location

2000 Crawford St
Ste 900
Houston, TX 77002-9011

Mailing address

PO Box 741126
Houston, TX 77274-1126
Phone (713) 651-0870

Other identifiers 1

IdentifierTypeStateIssuer
3862578562OtherMYUTMB 3862578562-COMMERCIAL NUMBER

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
I20120814000122 TX Practitioner - Ophthalmology 2668628298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Howard University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2424 Hamilton St
Suite 210
Houston, TX 77004-1203
Phone (346) 616-5035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP2-0026299TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wild Rose Hospice, LLC. Current Accepting new patients
Eye MD of Texas Ophthalmology CurrentSince Feb 21, 2018 Accepting new patients
Smartliving Healthcare Services Inc CurrentSince Mar 15, 2014 Accepting new patients

Locations

2000 Crawford St
Ste 900
Houston, TX 77002
Phone (713) 651-0870

2424 Hamilton St
Ste 201
Houston, TX 77004

4899 Griggs Rd
Houston, TX 77021
Phone (713) 748-5000

2424 Hamilton St
Ste 210
Houston, TX 77004
Phone (346) 616-5035

1120 Soldiers Field Dr
Sugar Land, TX 77479
Phone (281) 265-2113

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Smartliving Healthcare ServicesHouston, TX, CCN 747449 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director
W-2 Managing Employee
Operational/Managerial Control (100%)
Mar 15, 2014
Mar 15, 2014
Mar 15, 2014
Mar 15, 2014
Mar 15, 2014
Wild Rose HospiceHouston, TX, CCN 971559 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Director
W-2 Managing Employee (100%)
Nov 1, 2020
Nov 1, 2020
Nov 1, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1659575249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741126",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772741126",
            "telephone_number": "713-651-0870",
            "fax_number": "713-651-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CRAWFORD ST",
            "address_2": "STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029011",
            "telephone_number": "713-651-0870",
            "fax_number": "713-651-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOMO",
        "first_name": "EMELIKE",
        "middle_name": "UCHECHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "BP2-0026299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3862578562-COMMERCIAL NUMBER",
            "identifier": "3862578562",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.