Individual provider Active NPI

Chidinma Joy Anyiwo, MD

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1700349693
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U1468 Issued in TX
Practice address
6100 Harris Pkwy
Fort Worth, TX 76132-4101
Phone
(817) 433-5977
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, LA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220914001630 OK Practitioner - Internal Medicine 9436576303 Reassigns benefits to 4 organizations
I20230607000346 TX Practitioner - Internal MedicinePractitioner - Hospitalist 9436576303 Reassigns benefits to 6 organizations
I20240321000693 LA Practitioner - Hospitalist 9436576303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Comanche County Healthcare CorporationGroup PAC ID 0749192433, 125 clinicians
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

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

  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Mercy Hospital Ada Hospital, Ada, OK, CCN 370020
  • Integris Health Woodward Hospital Hospital, Woodward, OK, CCN 370002
  • Memorial Health Hospital, Lawton, OK, CCN 370056
  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9410064KSMDInternal Medicine Physician
U1468TXMDInternal Medicine Physician
34052LAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Medical Group LLC Internal Medicine CurrentSince Mar 11, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 28, 2023 Accepting new patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Oct 3, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Nov 22, 2024 Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Comanche County Healthcare Corporation Current Accepting new patients
Signify Health, LLC CurrentSince Aug 26, 2023 Accepting new patients
Texas Health Physicians Group CurrentSince Jul 1, 2023 Accepting new patients
Integris Ambulatory Care Corporation Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Jun 28, 2023 Accepting new patients
Mercy Clinic Oklahoma Communities Internal Medicine CurrentSince Aug 10, 2022 Accepting new patients
Comanche County Healthcare Corporation CurrentSince Dec 17, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 27, 2023 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Comanche County Healthcare Corporation CurrentSince Dec 17, 2024 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Mercy Hospital Ada, Inc Past Accepting new patients
St Francis Medical Center, 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

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

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

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

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

  • Direct secure messaging: chidinma.anyiwo@hca2.eclinicaldirectplus.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.