Individual provider Active NPI

Adaobi Chiamaka Ekweani, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1770016859
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S6607 Issued in TX
Practice address
1905 Jacquelyn Dr Ste 101
Houston, TX 77055-2502
Phone
(713) 462-6565
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S6607 TX Primary

Addresses

Primary practice location

1905 Jacquelyn Dr Ste 101
Houston, TX 77055-2502

Mailing address

2306 N Alexander Dr
Baytown, TX 77520-3455
Phone (281) 628-7442

Other practice location 1

2306 N Alexander Dr
Baytown, TX 77520-3455
Phone (281) 628-7442

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL url Direct

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
I20220916000704 TX Practitioner - Pediatric Medicine 7517342223 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Branch Community Health Center CurrentSince Nov 1, 2022 Accepting new patients
Spring Branch Community Health Center CurrentSince Nov 1, 2022 Accepting new patients
Spring Branch Community Health Center Pediatrics Past Accepting new patients
Ut Physicians Past Accepting new patients
Spring Branch Community Health Center Pediatrics Past Accepting new patients

Locations

1615 Hillendahl Blvd
Ste 100
Houston, TX 77055
Phone 7134626565125

800 W Sam Houston Pkwy S
Ste 200
Houston, TX 77042
Phone (832) 786-1018

5502 1st St
Katy, TX 77493
Phone 7134626565127

Interoperability endpoints

  • Direct secure messaging: adaobi.ekweani@sbchc.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1770016859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 N ALEXANDER DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775203455",
            "telephone_number": "281-628-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 JACQUELYN DR STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552502",
            "telephone_number": "713-462-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2306 N Alexander Dr",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775203455",
            "country_code": "US",
            "telephone_number": "281-628-7442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKWEANI",
        "first_name": "ADAOBI",
        "middle_name": "CHIAMAKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S6607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "url",
            "affiliation": "N",
            "endpointDescription": "url",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1905 Jacquelyn Dr Ste 101",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770552502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.