Individual provider Active NPI

Chinelo Udemgba Aguocha, M.D.

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1750709341
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
S6762 Issued in TX
Practice address
311 Camden St Ste 102
San Antonio, TX 78215-2003
Phone
(210) 281-9800
Fax
(210) 281-1001
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X S6762 TX Primary

Addresses

Primary practice location

311 Camden St Ste 102
San Antonio, TX 78215-2003

Mailing address

311 Camden St Ste 102
San Antonio, TX 78215-2003
Phone (210) 281-9800

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
I20200609002170 TX Practitioner - Cardiovascular Disease (Cardiology) 6608166525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Mississippi School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7000

11212 State Hwy 151
San Antonio, TX 78251-4498
Phone (210) 703-8000

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2200

3154 SE Military Dr
D101
San Antonio, TX 78223-3974
Phone (210) 281-9800

333 N Santa Rosa St
San Antonio, TX 78207-3108
Phone (210) 704-2187

3922 Wiseman Blvd
BLDG II
San Antonio, TX 78251-1668
Phone (210) 281-9800

6800 I 10
Suite 100
San Antonio, TX 78201-2039
Phone (210) 575-8289

6800 W Ih
10 Suite 130
San Antonio, TX 78201-2039
Phone (210) 932-1487

7390 Barlite Blvd
Suite 105
San Antonio, TX 78224-1338
Phone (210) 921-0000

Hospital & facility affiliations

  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Westover Hills Baptist Hospital Hospital, San Antonio, TX, CCN 670333

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S6762TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Physician Practices, PLLC Cardiovascular Disease CurrentSince May 1, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

3154 SE Military Dr
Ste D101
San Antonio, TX 78223

311 Camden St
Ste 102
San Antonio, TX 78215

3922 Wiseman Blvd
Bldg Ii
San Antonio, TX 78251

11212 State Highway 151
Ste 340
San Antonio, TX 78251
Phone (210) 520-4100

Interoperability endpoints

  • Direct secure messaging: chinelo.udemgbaaguocha@hca7.eclinicaldirectplus.com
  • Direct secure messaging: 6956-udemgba-chinelo@direct.leadingreach.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1750709341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152003",
            "telephone_number": "210-281-9800",
            "fax_number": "210-281-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152003",
            "telephone_number": "210-281-9800",
            "fax_number": "210-281-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDEMGBA AGUOCHA",
        "first_name": "CHINELO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "S6762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.