Active NPI
Ndy Ikwuagwu
- Diagnostic Radiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- U6730
- Practice address
- 1441 Eastlake Ave Ste 2
Los Angeles, CA 90089-1020 - Phone
- (214) 728-9752
- NPI assigned
- Jun 10, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | U6730 | TX | Primary |
Addresses
Primary practice location
1441 Eastlake Ave Ste 2
Los Angeles, CA 90089-1020
Mailing address
519 Stonewall Way
Mesquite, TX 75149-8727
Phone (214) 728-9752
Other practice location 1
1820 Preston Park Blvd Ste 2400
Plano, TX 75093-3716
Phone (972) 867-7862
Other practice location 2
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1000
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Texas Medical Branch at Galveston, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 S I35 Frontage Rd
Denton Regional Medical Center
Denton, TX 76210-3535
Phone (940) 384-3535
3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800
4500 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (972) 547-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Radiology Associates LLP | Diagnostic Radiology | Current | Accepting new patients |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Texas Radiology Associates LLP | Diagnostic Radiology | Current | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013
24600 Katy Fwy
Katy, TX 77494
Phone (346) 527-0245
8633 Broadway St
Ste 109
Pearland, TX 77584
Phone (281) 412-3916
1820 Preston Park Blvd
Ste 2400
Plano, TX 75093
401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535
Interoperability endpoints
- nikwuagwu1446861@direct.sw.org
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Plano, TX
- NPI 1427016161
-
- Physiological Laboratory
- Arlington, TX
- NPI 1689095325
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Richardson, TX
- NPI 1235162751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1841649688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 STONEWALL WAY",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751498727",
"telephone_number": "214-728-9752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 EASTLAKE AVE STE 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900891020",
"telephone_number": "214-728-9752"
}
],
"practiceLocations": [
{
"address_1": "1820 Preston Park Blvd Ste 2400",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750933716",
"country_code": "US",
"telephone_number": "972-867-7862",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Clarkson Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032012",
"country_code": "US",
"telephone_number": "718-270-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IKWUAGWU",
"first_name": "NDY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-10",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "U6730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.