Individual provider Active NPI

Ikechukwu N Egbukwu

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1730900515
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1167083 Issued in TX
Practice address
16840 Buccaneer LN Ste 202
Houston, TX 77058-2570
Phone
(281) 991-2200
Fax
(281) 991-7700
NPI assigned
Oct 23, 2024
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1167083 TX Primary

Addresses

Primary practice location

16840 Buccaneer LN Ste 202
Houston, TX 77058-2570

Mailing address

16840 Buccaneer LN Ste 202
Houston, TX 77058-2570
Phone (281) 991-2200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120002031 TX Practitioner - Nurse Practitioner 8325573892 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 W Adoue St
Alvin, TX 77511-2718
Phone 28182414801594

16840 Buccaneer LN
Suite 202
Houston, TX 77058-2570
Phone (281) 991-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1167083TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Specialists, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Nov 6, 2024 Accepting new patients
Interventional Pain Specialists, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Nov 6, 2024 Accepting new patients

Locations

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

16840 Buccaneer Ln
Ste 202
Houston, TX 77058

6243 Fairmont Pkwy
Ste 200
Pasadena, TX 77505
Phone (281) 241-6130

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1730900515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16840 BUCCANEER LN STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582570",
            "telephone_number": "281-991-2200",
            "fax_number": "281-991-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16840 BUCCANEER LN STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582570",
            "telephone_number": "281-991-2200",
            "fax_number": "281-991-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBUKWU",
        "first_name": "IKECHUKWU",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-23",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1167083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.