Chukwuma Osuagwu MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M4412 Issued in TX

Legal business name

CHUKWUMA OSUAGWU MD PA

Doing business as

Centerville Medical Center

Practice address

1015 W Centerville Rd Ste 118
Garland, TX 75041-5929

Phone

(972) 485-4440

Fax

(972) 807-6035

NPI assigned

Jan 15, 2014

Last updated

Nov 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chukwuma Chimezie Osuagwu, MDNPI 1487748661

Title

President

Phone

(214) 766-1955

Specialties & licenses 2

Addresses

Other names 1

• CENTERVILLE MEDICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8326/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chukwuma C Osuagwu

  • Internal Medicine Physician
  • Garland, TX
  • NPI 1487748661
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1821410523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 KENT BROWN RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445218",
            "telephone_number": "214-766-1955",
            "fax_number": "214-758-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W CENTERVILLE RD STE 118",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415929",
            "telephone_number": "972-485-4440",
            "fax_number": "972-807-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUKWUMA OSUAGWU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "OSUAGWU",
        "authorized_official_first_name": "CHUKWUMA",
        "authorized_official_middle_name": "CHIMEZIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-766-1955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTERVILLE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTERVILLE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Garland, TX
• Providers in Garland, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.