Active NPI
Glory Okugo
- Emergency Medicine Physician
- Canton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- S9197
- Practice address
- 18780 Interstate 20
Canton, TX 75103-3593 - Phone
- (903) 567-7748
- NPI assigned
- Apr 4, 2014
- Last updated
- Mar 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1M0904 | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Emergency Medicine | Current | Accepting new patients |
| Questcare Medical Services PLLC | Emergency Medicine | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| Fpa Hospital Based | Emergency Medicine | Current | Accepting new patients |
| Questcare Medical Services, PLLC | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Integrative Emergency Services Physician Group-Houston PLLC | Emergency Medicine | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | 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
- 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.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1912059247
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
dba IES Houston
- Emergency Medicine Physician
- Pasadena, TX
- NPI 1801458708
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Emergency Medicine Physician
- Plano, TX
- NPI 1164574489
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
dba FPA Hospital Based MSMC Emergency Physicians
- Emergency Medicine Physician
- New York, NY
- NPI 1427398676
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Arlington
- General Acute Care Hospital
- Arlington, TX
- NPI 1134172406
-
dba Medical City North Hills
- General Acute Care Hospital
- North Richland Hills, TX
- NPI 1518911833
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.