Individual provider Active NPI

Ndy Ikwuagwu

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1841649688
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
U6730 Issued in TX
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

Updated by the provider on Mar 31, 2025

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403000433 TX Practitioner - Diagnostic Radiology 6305369083 Reassigns benefits to 2 organizations

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
Texas Radiology Associates LLPGroup PAC ID 3779578000, 154 clinicians

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

OrganizationSpecialtyStatusNew patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Apr 24, 2025 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Feb 11, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 24, 2025 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Apr 24, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.