Individual provider Active NPI

Okechukwu Nwakile Mgbemena, M.D

  • Cardiovascular Disease Physician
  • Kingwood, TX
National Provider Identifier
1750709895
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R3150 Issued in TX
Practice address
2627 Chestnut Ridge Dr Ste 100
Kingwood, TX 77339-1777
Phone
(281) 358-1950
Fax
(281) 358-1923
NPI assigned
Apr 5, 2014
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 R3150 TX Primary

Addresses

Primary practice location

2627 Chestnut Ridge Dr Ste 100
Kingwood, TX 77339-1777

Mailing address

2627 Chestnut Ridge Dr Ste 100
Kingwood, TX 77339-1777
Phone (281) 358-1950

Other practice location 1

Dartmouth Medical Center
1 Medical Center Dr
Lebanon, NH 03766
Phone (603) 650-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in 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
I20170705002672 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8921377029 Reassigns benefits to 5 organizations
O20260323000204 TX Part B Supplier - Clinic/Group Practice 1456835065 Receives reassigned benefits from 1 practitioner
Practice locations: Conroe, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
University of Alabama School of Dentistry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lieber-Moore Cardiology Associates PAGroup PAC ID 8022904770, 16 clinicians

Practice addresses (Care Compare)

19502 McKay Dr
Suite 203
Humble, TX 77338-5720
Phone (281) 358-1950

22999 Hwy 59 N
Kingwood, TX 77339-4412
Phone (281) 358-1950

2627 Chestnut Ridge Dr
Suite 100
Kingwood, TX 77339-1777
Phone (281) 358-1950

710 Cypress Creek Pkwy
Houston, TX 77090-3402
Phone (281) 358-1950

800 Peakwood Dr
Suite 6C
Houston, TX 77090-2903
Phone (281) 440-7373

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Round Table Physicians Group PLLC Current Accepting new patients
Hope Cardiology PLLC Internal Medicine Current Accepting new patients
Lieber-Moore Cardiology Associates PA Cardiovascular Disease CurrentSince Feb 1, 2024 Accepting new patients
Round Table Specialist Group, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jul 25, 2017 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 14, 2017 Accepting new patients

Locations

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

11103 Westheimer Rd
#C
Houston, TX 77042

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

800 Peakwood Dr
Ste 6C
Houston, TX 77090
Phone (281) 440-7373

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

2627 Chestnut Ridge Dr
Ste 100
Kingwood, TX 77339

400 Bypass Ln
Ste 110
Livingston, TX 77352
Phone (936) 252-1147

Interoperability endpoints

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

Organizations & group practices 6

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 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": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1750709895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 CHESTNUT RIDGE DR STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391777",
            "telephone_number": "281-358-1950",
            "fax_number": "281-358-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 CHESTNUT RIDGE DR STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391777",
            "telephone_number": "281-358-1950",
            "fax_number": "281-358-1923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Dartmouth Medical Center",
            "address_2": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "03766",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MGBEMENA",
        "first_name": "OKECHUKWU",
        "middle_name": "NWAKILE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-05",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "R3150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.