Individual provider Active NPI

Chukwunonso Ubabike Nwasike, MD

  • Pediatrics Physician
  • Decatur, TX
National Provider Identifier
1790426989
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35C.004112 Issued in OH
Practice address
609 Medical Center Dr
Decatur, TX 76234-3836
Phone
(940) 539-6200
NPI assigned
Apr 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X V7033 TX
Pediatrics Physician 208000000X 35C.004112 OH Primary
Hospitalist Physician 208M00000X 35C.004112 OH

Addresses

Primary practice location

609 Medical Center Dr
Decatur, TX 76234-3836

Mailing address

2727 Revere St Apt 2024
Houston, TX 77098-1352
Phone (631) 703-4585

Other practice location 1

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-7960

Other practice location 2

1 Baylor Plz # Bcm320
Houston, TX 77030-3498
Phone (832) 824-1170

Other identifiers 1

IdentifierTypeStateIssuer
0184978MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20251219003628 MN Practitioner - Pediatric Medicine 4183119746 Reassigns benefits to 1 organization
I20260203001398 TX Practitioner - Pediatric Medicine 4183119746 Reassigns benefits to 1 organization
I20260622001957 OH Practitioner - Pediatric MedicinePractitioner - Hospitalist 4183119746

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
George Washington University School of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

2213 Cherry St
Toledo, OH 43608-2691

601 E Rollins St
Orlando, FL 32803-1248

700 Childrens Dr
Columbus, OH 43205-2639

900 Hope Way
Managed Care
Altamonte Springs, FL 32714-1502

PO Box
Suite 5074
Sioux Falls, SD 57117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35C.004112OHMDPediatrics Physician
V7033TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Neonatology at North Texas, PLLC CurrentSince Jan 18, 2026 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Oct 30, 2025 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Oct 30, 2025 Accepting new patients
Columbia Medical Center of Denton Subsidiary LP Past Accepting new patients
Sanford Health of Northern Minnesota Past Accepting new patients

Locations

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

3101 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 349-4663

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1790426989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 REVERE ST APT 2024",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981352",
            "telephone_number": "631-703-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MEDICAL CENTER DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343836",
            "telephone_number": "940-539-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-7960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Baylor Plz # Bcm320",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303498",
            "country_code": "US",
            "telephone_number": "832-824-1170",
            "fax_number": "832-825-6497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWASIKE",
        "first_name": "CHUKWUNONSO",
        "middle_name": "UBABIKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V7033",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35C.004112",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35C.004112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184978",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.