Active NPI
Emelike Uchechi Agomo, MD
- Ophthalmology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- BP2-0026299
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3862578562 | Other | MYUTMB 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| BP2-0026299 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wild Rose Hospice, LLC. | Current | Accepting new patients | |
| Eye MD of Texas | Ophthalmology | Current | Accepting new patients |
| Smartliving Healthcare Services Inc | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Smartliving Healthcare Services | 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 Hospice | 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.
-
- Home Health Agency
- Houston, TX
- NPI 1437390945
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1437613262
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
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.
-
- Ophthalmology Physician
- Houston, TX
- NPI 1437659505
-
- Home Health Agency
- Houston, TX
- NPI 1437390945
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1437613262
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.