Individual provider Active NPI

Glory Okugo

  • Emergency Medicine Physician
  • Canton, TX
National Provider Identifier
1699193771
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S9197 Issued in TX
Practice address
18780 Interstate 20
Canton, TX 75103-3593
Phone
(903) 567-7748
NPI assigned
Apr 4, 2014
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 288233 NY
Emergency Medicine Physician 207P00000X S9197 TX Primary

Addresses

Primary practice location

18780 Interstate 20
Canton, TX 75103-3593

Mailing address

1131 Meadow Creek Dr.
258
Irving, TX 75038

Other practice location 1

1020 Sansom St Rm 1651
Philadelphia, PA 19107-5002
Phone (215) 955-9837

Other identifiers 1

IdentifierTypeStateIssuer
1M0904OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, DC, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20171003004815 NY Practitioner - Emergency Medicine 2769606847 Reassigns benefits to 2 organizations
I20210212000835 TX Practitioner - Emergency Medicine 2769606847 Reassigns benefits to 4 organizations
I20220111000209 DC Practitioner - Emergency Medicine 2769606847 Reassigns benefits to 1 organization
I20220112002767 VA Practitioner - Emergency Medicine 2769606847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Medical Services PLLCGroup PAC ID 6204739402, 43 clinicians

Practice addresses (Care Compare)

609 Medical Ctr Dr
Decatur, TX 76234-3836
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Emergency Medicine CurrentSince Jul 15, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Questcare Medical Services PLLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Jul 15, 2017 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jan 1, 2022 Accepting new patients
Fpa Hospital Based Emergency Medicine CurrentSince Dec 1, 2018 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Apr 1, 2021 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Fpa Hospital Based CurrentSince Dec 1, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2022 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine Current Accepting new patients
Arnot Medical Services PLLC Emergency Medicine Past Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

111 E 210th St
Bronx, NY 10467

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • Direct secure messaging: gokugo245656@christushealth.direct-ci.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1699193771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 MEADOW CREEK DR.",
            "address_2": "258",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18780 INTERSTATE 20",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751033593",
            "telephone_number": "903-567-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Sansom St Rm 1651",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075002",
            "country_code": "US",
            "telephone_number": "215-955-9837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKUGO",
        "first_name": "GLORY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "288233",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S9197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1M0904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, TX

Sources for this page

Verify at the official NPI Registry.