Active NPI
Chidinma Joy Anyiwo, MD
- Internal Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- U1468
- Practice address
- 6100 Harris Pkwy
Fort Worth, TX 76132-4101 - Phone
- (817) 433-5977
- NPI assigned
- Apr 9, 2019
- Last updated
- Apr 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9410064 | KS | |
| Hospitalist Physician | 208M00000X | U1468 | TX | |
| Hospitalist Physician | 208M00000X | 34052 | LA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | U1468 | TX | Primary |
Addresses
Primary practice location
6100 Harris Pkwy
Fort Worth, TX 76132-4101
Mailing address
12140 Nall Ave Ste 300
Overland Park, KS 66209-2503
Phone (913) 498-7005
Other practice location 1
700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-1488
Other practice location 2
811 S Washington Ave
Marshall, TX 75670-5336
Phone (903) 315-1488
Other practice location 3
2100 SE Blue Pkwy
Lees Summit, MO 64063-1007
Phone (816) 282-5000
Other practice location 4
309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | canyiwo5277349@direct.casso.us.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541
3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 510-7037
430 N Monte Vista St
Ada, OK 74820-4610
Phone (580) 332-2323
700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000
800 W Randol Mill Rd
Texas Health Arlington Memorial Hos
Arlington, TX 76012-2504
Phone (817) 960-6100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9410064 | KS | MD | Internal Medicine Physician |
| 34052 | LA | MD | Hospitalist Physician |
| U1468 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Texas Health Physicians Group | Internal Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients | |
| St Francis Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Internal Medicine | Current | Accepting new patients |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Signify Health, LLC | Current | Accepting new patients | |
| Integris Ambulatory Care Corporation | Internal Medicine | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Hospital Medicine Services of TX, PLLC | Hospitalist | Current | Accepting new patients |
| North Texas Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| St Francis Medical Center, Inc | Past | Accepting new patients | |
| St Francis Medical Center, Inc | Past | Accepting new patients | |
| Mercy Hospital Ada, Inc | Past | Accepting new patients |
Locations (25 of 32)
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000
517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500
430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
10601 S Western Ave
Ste 100
Oklahoma City, OK 73170
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100
811 Wright St
Arlington, TX 76012
Phone (817) 960-3500
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000
12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
Interoperability endpoints
- canyiwo5277349@direct.casso.us.com
- chidinma.anyiwo@hca2.eclinicaldirectplus.com
Organizations & group practices 20
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.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Internal Medicine Physician
- Longview, TX
- NPI 1992586150
-
- Public Health or Welfare Agency
- Lawton, OK
- NPI 1053352690
-
dba INTEGRIS Medical Group
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
Internal Medicine
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
Internal Medicine
-
- Internal Medicine Physician
- Monroe, LA
- NPI 1134405087
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Internal Medicine
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1881392363
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
dba CCMH Ambulance Services
- Land Ambulance
- Walters, OK
- NPI 1285181610
Hospital
-
dba Comanche County Memorial Hospital
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
dba CCMH Ambulance Services
- Land Ambulance
- Lawton, OK
- NPI 1770525883
Hospital
-
dba Integris Health Woodward Hospital
- General Acute Care Hospital
- Woodward, OK
- NPI 1558148627
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1700349693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12140 NALL AVE STE 300",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662092503",
"telephone_number": "913-498-7005",
"fax_number": "913-498-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 HARRIS PKWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324101",
"telephone_number": "817-433-5977"
}
],
"practiceLocations": [
{
"address_1": "700 E Marshall Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015580",
"country_code": "US",
"telephone_number": "903-315-1488",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "811 S Washington Ave",
"address_purpose": "LOCATION",
"city": "Marshall",
"state": "TX",
"postal_code": "756705336",
"country_code": "US",
"telephone_number": "903-315-1488",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 SE Blue Pkwy",
"address_purpose": "LOCATION",
"city": "Lees Summit",
"state": "MO",
"postal_code": "640631007",
"country_code": "US",
"telephone_number": "816-282-5000",
"fax_number": "913-498-6708",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 Jackson St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "LA",
"postal_code": "712017407",
"country_code": "US",
"telephone_number": "318-966-4541",
"fax_number": "319-966-4543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANYIWO",
"first_name": "CHIDINMA",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "9410064",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "U1468",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "LA",
"license": "34052",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "U1468",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "309 Jackson St",
"city": "Monroe",
"state": "LA",
"country_code": "US",
"postal_code": "712017407",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "canyiwo5277349@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "canyiwo5277349@direct.casso.us.com",
"address_1": "309 Jackson St",
"city": "Monroe",
"state": "LA",
"country_code": "US",
"postal_code": "712017407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.