Individual provider Active NPI

Chinwe Ezenna, DO

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1699301580
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V2994 Issued in TX
Practice address
1100 W 34TH St
Houston, TX 77018-6206
Phone
(713) 861-3939
NPI assigned
Mar 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X V2994 TX Primary

Addresses

Primary practice location

1100 W 34TH St
Houston, TX 77018-6206

Mailing address

1100 W 34TH St
Houston, TX 77018-6206
Phone (713) 861-3939

Other practice location 1

12340 Jones Rd Ste 100
Houston, TX 77070-3127
Phone (713) 873-5240

Other practice location 2

7550 Office City Dr
Houston, TX 77012-4115
Phone (713) 495-3700

Other practice location 3

3550 Swingle Rd
Houston, TX 77047-3763
Phone (713) 547-1000

Other practice location 4

1100 W 34th St
Houston, TX 77018-6206
Phone (713) 861-3939

Other practice location 5

8539 Gulf Fwy
Houston, TX 77017-5055
Phone (713) 982-7044

Other practice location 6

8888 W Bellfort Ave
Houston, TX 77031-2406
Phone (713) 982-7008

Other practice location 7

1623 Airline Dr
Houston, TX 77009-3607
Phone (713) 982-8604

Other practice location 8

927 Shaw Ave
Pasadena, TX 77506-1430
Phone (713) 982-5900

Other practice location 9

6630 De Moss Dr
Houston, TX 77074-5004
Phone (713) 272-2600

Other practice location 10

1615 N Main St
Houston, TX 77009-8525
Phone (713) 222-2272

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
I20241125002222 TX Practitioner - Family Practice 9032644208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia Col of Osteo Med, Sewanee, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians

Practice addresses (Care Compare)

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

Hospital & facility affiliations

  • Harris Health Hospital, Houston, TX, CCN 450289

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Family Medicine CurrentSince Sep 20, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Sep 20, 2024 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

12340 Jones Rd
Ste 100
Houston, TX 77070
Phone (713) 873-5240

1 Baylor Plz
#2
Houston, TX 77030

8888 W Bellfort Ave
Houston, TX 77031
Phone (713) 218-2697

3550 Swingle Rd
Houston, TX 77047
Phone (713) 547-1000

7550 Office City Dr
Houston, TX 77012
Phone (713) 495-3700

1615 N Main St
Houston, TX 77009
Phone (713) 222-2272

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

8539 Gulf Fwy
Houston, TX 77017
Phone (713) 218-2697

1100 W 34th St
Houston, TX 77018
Phone (713) 861-3939

1623 Airline Dr
Houston, TX 77009
Phone (713) 218-2697

927 Shaw Ave
Pasadena, TX 77506
Phone (713) 982-5168

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1699301580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W 34TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186206",
            "telephone_number": "713-861-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W 34TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186206",
            "telephone_number": "713-861-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12340 Jones Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770703127",
            "country_code": "US",
            "telephone_number": "713-873-5240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7550 Office City Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770124115",
            "country_code": "US",
            "telephone_number": "713-495-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 Swingle Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770473763",
            "country_code": "US",
            "telephone_number": "713-547-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W 34th St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770186206",
            "country_code": "US",
            "telephone_number": "713-861-3939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8539 Gulf Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770175055",
            "country_code": "US",
            "telephone_number": "713-982-7044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8888 W Bellfort Ave",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770312406",
            "country_code": "US",
            "telephone_number": "713-982-7008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1623 Airline Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770093607",
            "country_code": "US",
            "telephone_number": "713-982-8604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 Shaw Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775061430",
            "country_code": "US",
            "telephone_number": "713-982-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6630 De Moss Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770745004",
            "country_code": "US",
            "telephone_number": "713-272-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 N Main St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770098525",
            "country_code": "US",
            "telephone_number": "713-222-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZENNA",
        "first_name": "CHINWE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V2994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.