Chinemelum S Chris-Ukah, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4000-23 Issued in WI

Practice address

6124 W Parker Rd Ste 234
Plano, TX 75093-8124

Phone

(972) 468-9999

Fax

(972) 981-3600

NPI assigned

Apr 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chevelle Brudey MD PLLCGroup PAC ID 9032566195, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Chevelle Brudey MD PLLC

  • Psychiatry Physician
  • Addison, TX
  • NPI 1326829094

  TX

  Medicare reassignment Care Compare group NPD
• Richard L. Vera MD, PA

  • Pain Medicine (Anesthesiology) Physician
  • Grapevine, TX
  • NPI 1932293602

  TX

  Medicare reassignment

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1831624949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 234",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938124",
            "telephone_number": "972-468-9999",
            "fax_number": "972-981-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 234",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938124",
            "telephone_number": "972-468-9999",
            "fax_number": "972-981-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRIS-UKAH",
        "first_name": "CHINEMELUM",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4000-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conrad Chou, D.D.S.
• Rabeea Khalid Choudhary, MD
• Amir Iqbal Choudhry, M.D.
• Julia Chowdhury, M.D.
• Omer Chowdhury, DO
• Christen Leaf MD PLLC
• Christian L Moncrief MD PA
• Christian Servants Home Care Texas, LLC
• Angela Marie Christian-Williams, PT, DPT
• Alice Christian

• Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.