Individual provider Active NPI

Nnenna Ejesieme

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1821408451
Registry record updated Jun 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q9340 Issued in TX
Practice address
5201 Harry Hines Blvd
Graduate Medical Education
Dallas, TX 75235-7708
Phone
(214) 590-8058
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X Q9340 TX Primary

Addresses

Primary practice location

5201 Harry Hines Blvd
Graduate Medical Education
Dallas, TX 75235-7708

Mailing address

PO Box 660599
Dallas, TX 75266-0599

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
I20170323001472 TX Practitioner - Emergency Medicine 5294010740 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physician Resources, LLPGroup PAC ID 7012161375, 91 clinicians
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians
Texas Medicine Resources, LLPGroup PAC ID 5890688212, 255 clinicians

Practice addresses (Care Compare)

1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-8181

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

850 Hwy 243 W
Kaufman, TX 75142-1861
Phone (972) 932-7200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Emergency Medicine Group LLP Emergency Medicine CurrentSince Mar 21, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Feb 23, 2017 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Union Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Texas Physician Resources, LLP Emergency Medicine CurrentSince Nov 22, 2023 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Feb 23, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince May 10, 2024 Accepting new patients
Acute Care Specialists Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2017 Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations (25 of 33)

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

26791 US Highway 380 E
Aubrey, TX 76227
Phone (972) 347-2525

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

12500 South Fwy
Ste 100
Burleson, TX 76028
Phone (214) 294-6250

1935 Medical District Dr
#D
Dallas, TX 75235

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

3500 Gaston Ave
Dallas, TX 75246

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

3095 Kingswood Blvd
Ste 100
Grand Prairie, TX 75052
Phone (972) 854-0009

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

620 S Main St
Ste 100
Keller, TX 76248
Phone (214) 294-6100

1612 S Henderson Blvd
Kilgore, TX 75662
Phone (903) 983-2492

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497571200000",
    "number": "1821408451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660599",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HARRY HINES BLVD",
            "address_2": "GRADUATE MEDICAL EDUCATION",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357708",
            "telephone_number": "214-590-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJESIEME",
        "first_name": "NNENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2017-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q9340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.