Individual provider Active NPI

Chika Ugoala

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1699156612
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128030 Issued in TX
Practice address
15614 Wildwood Lake Dr
Houston, TX 77083-5561
Phone
(281) 323-0139
NPI assigned
Jun 16, 2015
Last updated
Jun 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128030 TX Primary

Addresses

Primary practice location

15614 Wildwood Lake Dr
Houston, TX 77083-5561

Mailing address

15614 Wildwood Lake Dr
Houston, TX 77083-5561
Phone (281) 323-0139

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161109002871 TX Practitioner - Nurse Practitioner 4284913542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Family Physicians PAGroup PAC ID 4688770472, 11 clinicians

Practice addresses (Care Compare)

8313 Southwest Fwy
Suite 105
Houston, TX 77074-1612
Phone (713) 773-1102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128030TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Family Physicians PA CurrentSince May 1, 2021 Accepting new patients

Locations

340 N Sam Houston Pkwy E
Ste A244
Houston, TX 77060
Phone (281) 704-3836

8313 Southwest Fwy
Ste 105
Houston, TX 77074
Phone (713) 773-1102

8968 Kirby Dr
Houston, TX 77054
Phone (713) 492-0433

2743 Smith Ranch Rd
Ste 2401
Pearland, TX 77584
Phone (713) 773-1102

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.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1699156612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15614 WILDWOOD LAKE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835561",
            "telephone_number": "281-323-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15614 WILDWOOD LAKE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835561",
            "telephone_number": "281-323-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGOALA",
        "first_name": "CHIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.