Individual provider Active NPI

Chiedu A Ogwu, MD

  • Internal Medicine Physician
  • Lancaster, TX
National Provider Identifier
1669855250
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R8251 Issued in TX
Practice address
2505 W Belt Line Rd
Lancaster, TX 75146-1930
Phone
(972) 230-8290
Fax
(972) 230-8274
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10054921 TX
Internal Medicine Physician 207R00000X R8251 TX Primary

Addresses

Primary practice location

2505 W Belt Line Rd
Lancaster, TX 75146-1930

Mailing address

2505 W Belt Line Rd
Lancaster, TX 75146-1930
Phone (972) 230-8290

Other identifiers 1

IdentifierTypeStateIssuer
400291701MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chieduaustin.ogwu@amc.eclinicaldirectplus.com Health Information Exchange (HIE)

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
I20190228002035 TX Practitioner - Internal Medicine 1254620727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2505 W Belt Line Rd
Lancaster, TX 75146-1930
Phone (972) 230-8290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10054921TXMDInternal Medicine Physician

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1669855250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 W BELT LINE RD",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461930",
            "telephone_number": "972-230-8290",
            "fax_number": "972-230-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 W BELT LINE RD",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461930",
            "telephone_number": "972-230-8290",
            "fax_number": "972-230-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGWU",
        "first_name": "CHIEDU",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10054921",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R8251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400291701",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chieduaustin.ogwu@amc.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "2505 W Belt Line Rd",
            "city": "Lancaster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751461930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

Verify at the official NPI Registry.