Individual provider Active NPI

Munachi N Okpala, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1780862821
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
670841 Issued in TX
Practice address
6410 Fannin St
Houston, TX 77030-3000
Phone
(713) 500-7473
Fax
(713) 512-2239
NPI assigned
Jan 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 670841 TX Primary

Addresses

Primary practice location

6410 Fannin St
Houston, TX 77030-3000

Mailing address

6410 Fannin St
1014
Houston, TX 77030
Phone (713) 500-7473

Other identifiers 5

IdentifierTypeStateIssuer
00103111MedicaidTX
170163302MedicaidTX
001013111MedicaidTX
170163304MedicaidTX
1701633-04MedicaidTX

Other names 1

  • Munachi N Onyedebelu Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120925000441 TX Practitioner - Nurse Practitioner 7416868070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 2961732193, 206 clinicians

Practice addresses (Care Compare)

11920 Astoria Blvd
Suite 292
Houston, TX 77089-6155
Phone (713) 486-7970

6410 Fannin St
Suite 1020
Houston, TX 77030-3000
Phone (713) 486-8000

7777 Southwest Fwy
Suite 840
Houston, TX 77074-1812
Phone (713) 456-8080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
68.75
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jan 1, 1996 Accepting new patients
Ut Physicians CurrentSince Sep 1, 2020 Accepting new patients
Ut Physicians CurrentSince Jan 1, 1996 Accepting new patients

Locations

6410 Fannin St
Houston, TX 77030
Phone (713) 500-5800

11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970

7777 Southwest Fwy
Ste 840
Houston, TX 77074
Phone (713) 456-8080

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

915 Gessner Rd
Ste 600
Houston, TX 77024
Phone (713) 464-1758

6410 Fannin St
Ste 1014
Houston, TX 77030
Phone (713) 500-7100

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.

Hospital & facility affiliations 7

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": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1780862821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST",
            "address_2": "1014",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-500-7473",
            "fax_number": "713-512-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303000",
            "telephone_number": "713-500-7473",
            "fax_number": "713-512-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPALA",
        "first_name": "MUNACHI",
        "middle_name": "N",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "670841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00103111",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170163302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013111",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170163304",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1701633-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUNACHI",
            "last_name": "ONYEDEBELU",
            "middle_name": "N",
            "credential": "MSN, NP-C,MBA, DNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.