Individual provider Active NPI

Onachi Ofoma, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1710321435
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T3353 Issued in TX
Practice address
1111 W Ledbetter Dr
Dallas, TX 75224-4962
Phone
(214) 295-7344
Fax
(214) 295-7853
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 T3353 TX Primary

Addresses

Primary practice location

1111 W Ledbetter Dr
Dallas, TX 75224-4962

Mailing address

1111 W Ledbetter Dr
Dallas, TX 75224-4962
Phone (214) 295-7344

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
I20211106000177 TX Practitioner - Family Practice 6002248523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Memorial Hospital IncGroup PAC ID 7719889203, shared by 4 NPIs, 19 clinicians

Practice addresses (Care Compare)

1705 16TH Ave
Cumberland, WI 54829-8601
Phone (715) 822-7222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T3353TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winkler County Hospital District CurrentSince Dec 12, 2025 Accepting new patients
Winkler County Hospital District CurrentSince Dec 12, 2025 Accepting new patients
Cumberland Memorial Hospital Inc Past Accepting new patients
Cumberland Memorial Hospital Inc Family Medicine Past Accepting new patients
Winkler County Hospital District Past Accepting new patients

Locations

821 Jeffee Dr
Kermit, TX 79745
Phone (432) 586-2040

Organizations & group practices 6

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 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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1710321435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W LEDBETTER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244962",
            "telephone_number": "214-295-7344",
            "fax_number": "214-295-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W LEDBETTER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244962",
            "telephone_number": "214-295-7344",
            "fax_number": "214-295-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFOMA",
        "first_name": "ONACHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T3353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.