Individual provider Active NPI

Chinedu John Ngwudike, MD

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1770111932
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U7917 Issued in TX
Practice address
10175 Gateway Blvd W Ste 140
El Paso, TX 79925-7618
Phone
(410) 878-2227
Fax
(915) 283-3954
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2022-0663 NM
Internal Medicine Physician 207R00000X U7917 TX Primary

Addresses

Primary practice location

10175 Gateway Blvd W Ste 140
El Paso, TX 79925-7618

Mailing address

10175 Gateway Blvd W Ste 140
El Paso, TX 79925-7618
Phone (410) 878-2227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, 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
I20221025002210 NM Practitioner - General Practice 7911373493 Reassigns benefits to 1 organization
I20240220002204 TX Practitioner - Internal Medicine 7911373493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10301 Gateway Blvd W
El Paso, TX 79925-7701
Phone (601) 951-1437

3800 N Mesa St
Suite A2
El Paso, TX 79902-1512

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2022-0663NMMDInternal Medicine Physician
U7917TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC General Practice CurrentSince Sep 13, 2022 Accepting new patients
Chinedu John Ngwudike PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Las Palmas del Sol Internal Medicine, PLLC Internal Medicine CurrentSince Mar 1, 2022 Accepting new patients

Locations

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

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

10175 Gateway Blvd W
Ste 140
El Paso, TX 79925
Phone (915) 218-8828

10175 Gateway Blvd W
Ste 100
El Paso, TX 79925
Phone (915) 283-3953

3800 N Mesa St
Ste A2
El Paso, TX 79902
Phone (540) 597-7137

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BECFDD/Endpoint/BECFDD
  • Direct secure messaging: chinedu.ngwudike@hca8.eclinicaldirectplus.com

Organizations & group practices 3

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1770111932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 GATEWAY BLVD W STE 140",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257618",
            "telephone_number": "410-878-2227",
            "fax_number": "915-283-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 GATEWAY BLVD W STE 140",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257618",
            "telephone_number": "410-878-2227",
            "fax_number": "915-283-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGWUDIKE",
        "first_name": "CHINEDU",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2022-0663",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U7917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.