Individual provider Active NPI

Obi Ugochukwu Osuji, M.D.

  • Orthopaedic Surgery Physician
  • Mesquite, TX
National Provider Identifier
1730321985
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
077281 Issued in GA
Practice address
2540 N Galloway Ave
Mesquite, TX 75150-6306
Phone
(972) 863-9828
NPI assigned
Apr 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD24208 ME
Orthopaedic Surgery Physician 207X00000X 077281 GA Primary

Addresses

Primary practice location

2540 N Galloway Ave
Mesquite, TX 75150-6306

Mailing address

2540 N Galloway Ave Ste 302
Mesquite, TX 75150-4814
Phone (972) 863-9828

Other practice location 1

181 Franklin Health Commons
Farmington, ME 04938
Phone (207) 778-6031

Other identifiers 1

IdentifierTypeStateIssuer
351381MedicaidSC

Other names 1

  • Obinwanne Ugochukwu Osuji Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170207002421 GA Practitioner - Orthopedic Surgery 7214184753 Reassigns benefits to 1 organization
I20211209000700 TX Practitioner - Orthopedic Surgery 7214184753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Stanford University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2540 N Galloway Ave
Suite 302
Mesquite, TX 75150-4814
Phone (972) 863-9828

Hospital & facility affiliations

  • The Home Health Team Home health agency, Richardson, TX, CCN 747573
  • Baylor Scott and White Medical Center Sunnyvale Hospital, Sunnyvale, TX, CCN 670060
  • Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement22
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
077281GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Regional Laboratories Pathology Services, LLC Current Accepting new patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Feb 6, 2017 Accepting new patients
Signature Orthopaedics, PLLC Orthopaedic Surgery CurrentSince Aug 19, 2021 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Past Accepting new patients

Locations

1908 Alice St
Waycross, GA 31501
Phone (912) 338-6010

2540 N Galloway Ave
Ste 302
Mesquite, TX 75150
Phone (972) 613-7776

1324 Brown St
Ste 100
Waxahachie, TX 75165
Phone (972) 885-4454

Interoperability endpoints

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

Organizations & group practices 4

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 3

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1730321985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 N GALLOWAY AVE STE 302",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504814",
            "telephone_number": "972-863-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506306",
            "telephone_number": "972-863-9828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Franklin Health Commons",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "ME",
            "postal_code": "04938",
            "country_code": "US",
            "telephone_number": "207-778-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSUJI",
        "first_name": "OBI",
        "middle_name": "UGOCHUKWU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "MD24208",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "077281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351381",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OBINWANNE",
            "last_name": "OSUJI",
            "middle_name": "UGOCHUKWU",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.