Organization Active NPI

Excel Urology PLLC

  • Urology Physician
  • Hurst, TX
National Provider Identifier
1790248805
Registry record updated Oct 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
EXCEL UROLOGY PLLC
Practice address
6138 Precinct Line Rd Ste 100
Hurst, TX 76054-2610
Phone
(214) 238-6985
NPI assigned
Apr 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2019

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

Authorized official

Name
Ifeanyichukwu AnusionwuNPI 1720252570
Title
Managing Member
Phone
(717) 635-0811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

6138 Precinct Line Rd Ste 100
Hurst, TX 76054-2610

Mailing address

6138 Precinct Line Rd Ste 100
Hurst, TX 76054-2610
Phone (214) 238-6985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191004000552 TX Part B Supplier - Clinic/Group Practice 6507199817 Receives reassigned benefits from 1 practitioner
Practice locations: Mesquite, TX; Hurst, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2166033Excel Urology, PLLC6138 Precinct Line Rd, Hurst, TX 76054Certificate of waiverMay 9, 2027

National Provider Directory

National Provider Directory

Locations

6138 Precinct Line Rd
Unit 100
Hurst, TX 76054
Phone (817) 678-8525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570924800000",
    "number": "1790248805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6138 PRECINCT LINE RD STE 100",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542610",
            "telephone_number": "214-238-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6138 PRECINCT LINE RD STE 100",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542610",
            "telephone_number": "214-238-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL UROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-10-13",
        "status": "A",
        "authorized_official_last_name": "ANUSIONWU",
        "authorized_official_first_name": "IFEANYICHUKWU",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "717-635-0811"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.