Individual provider Active NPI

Kelechi Ukoha, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1740710169
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
V0207 Issued in TX
Practice address
3500 Gaston Ave
Dallas, TX 75246-2017
Phone
(800) 841-4236
Fax
(706) 653-1230
NPI assigned
Jun 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X V0207 TX Primary

Addresses

Primary practice location

3500 Gaston Ave
Dallas, TX 75246-2017

Mailing address

PO Box 678253
Dallas, TX 75267-8253
Phone (800) 841-4236

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
I20240807004591 TX Practitioner - Diagnostic Radiology 1850663253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Kansas City, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

Coppell, TX 75019
Phone (281) 742-0469

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

9440 Poppy Dr
Dallas, TX 75218-3652
Phone (214) 324-6100

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • Christus Spohn Hospital Beeville Hospital, Beeville, TX, CCN 450082
  • Christus Spohn Hospital Kleberg Hospital, Kingsville, TX, CCN 450163

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology Past Accepting new patients

Locations

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Interoperability endpoints

  • Direct secure messaging: kukoha980996@direct.hopkinsmedicine.org

Organizations & group practices 2

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 5

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1740710169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678253",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678253",
            "telephone_number": "800-841-4236",
            "fax_number": "706-653-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "800-841-4236",
            "fax_number": "706-653-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKOHA",
        "first_name": "KELECHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "V0207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.