Active NPI
Ugonna Chike-Obi, M.D.
- Neonatal-Perinatal Medicine Physician
- Fort Worth, TX
National Provider Identifier
1841237203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- N1283
- Practice address
- 1500 S Main St
Fort Worth, TX 76104-4917 - Phone
- (817) 927-1252
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 036084891 | IL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | N1283 | TX | Primary |
| Pediatrics Physician | 208000000X | N1283 | TX |
Addresses
Primary practice location
1500 S Main St
Fort Worth, TX 76104-4917
Mailing address
1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 927-1252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036084891 | Medicaid | IL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N1283 | TX | MD | Pediatrics Physician |
| 036084891 | IL | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| Tarrant County Hospital District | Past | Accepting new patients |
Locations
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1841237203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "817-927-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "817-927-1252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIKE-OBI",
"first_name": "UGONNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IL",
"license": "036084891",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "N1283",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N1283",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036084891",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.