Individual provider Active NPI

Ifeanyichukwu Anusionwu, M.D.

  • Urology Physician
  • Hurst, TX
National Provider Identifier
1720252570
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R9913 Issued in TX
Practice address
6138 Precinct Line Rd Unit 100
Hurst, TX 76054-2617
Phone
(817) 849-2410
Fax
(817) 849-2202
NPI assigned
Apr 14, 2008
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD450393 PA
Urology Physician 208800000X R9913 TX Primary

Addresses

Primary practice location

6138 Precinct Line Rd Unit 100
Hurst, TX 76054-2617

Mailing address

6138 Precinct Line Rd Unit 100
Hurst, TX 76054-2617
Phone (817) 849-2410

Other names 1

  • Ifeanyichukwu Megwalu Former name

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
I20191102000127 TX Practitioner - Urology 6103075494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Washington University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6138 Precinct Line Rd
Unit 100
Hurst, TX 76054-2617
Phone (817) 849-2410

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD450393PAMDUrology Physician
R9913TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urology PLLC Urology CurrentSince Aug 26, 2019 Accepting new patients

Locations

6138 Precinct Line Rd
Unit 100
Hurst, TX 76054
Phone (817) 678-8525

1102 N Galloway Ave
Mesquite, TX 75149
Phone (817) 849-2410

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDBCCD/Endpoint/IDBCCD

Organizations & group practices 1

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.

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1720252570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6138 PRECINCT LINE RD UNIT 100",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542617",
            "telephone_number": "817-849-2410",
            "fax_number": "817-849-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6138 PRECINCT LINE RD UNIT 100",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542617",
            "telephone_number": "817-849-2410",
            "fax_number": "817-849-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUSIONWU",
        "first_name": "IFEANYICHUKWU",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD450393",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "R9913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IFEANYICHUKWU",
            "last_name": "MEGWALU",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.