Active NPI
Kingsley Ilochonwu, M.D.
- Emergency Medicine Physician
- Rosenberg, TX
National Provider Identifier
1669727053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- P8681
- Practice address
- 24003 Southwest Fwy
Rosenberg, TX 77471 - Phone
- (832) 759-5360
- NPI assigned
- Jul 20, 2012
- Last updated
- Sep 17, 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 | P8681 | TX | Primary |
Addresses
Primary practice location
24003 Southwest Fwy
Rosenberg, TX 77471
Mailing address
24003 Southwest Fwy
Rosenberg, TX 77471-5897
Phone (832) 759-5360
Other practice location 1
6431 Fannin St
JJL 430
Houston, TX 77030-1501
Phone (713) 500-7882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8681 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singleton Associates PA | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Shenandoah, TX
- NPI 1538107875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1669727053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24003 SOUTHWEST FWY",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774715897",
"telephone_number": "832-759-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24003 SOUTHWEST FWY",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "77471",
"telephone_number": "832-759-5360"
}
],
"practiceLocations": [
{
"address_1": "6431 Fannin St",
"address_2": "JJL 430",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770301501",
"country_code": "US",
"telephone_number": "713-500-7882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILOCHONWU",
"first_name": "KINGSLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-20",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "P8681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.