Individual provider Active NPI

Victor Maduabuchi Nwiloh, M.D.

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1851338032
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N5914 Issued in TX
Practice address
2204 Joe Battle Blvd # D204
El Paso, TX 79938-4660
Phone
(915) 300-2276
Fax
(866) 665-6659
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME91251 FL
Internal Medicine Physician 207R00000X MD00047521 WA
Internal Medicine Physician 207R00000X ME 91251 FL
Internal Medicine Physician 207R00000X N5914 TX Primary

Addresses

Primary practice location

2204 Joe Battle Blvd # D204
El Paso, TX 79938-4660

Mailing address

PO Box 963207
El Paso, TX 79996-3207
Phone (915) 300-2276

Other practice location 1

2204 Joe Battle Blvd Ste D203
El Paso, TX 79938-4660
Phone (915) 300-2276

Other identifiers 5

IdentifierTypeStateIssuer
P00388656OtherWARR MCARE
53528OtherFLBCBS
2757770-00MedicaidFL
803343252BMedicaidGA
8473498MedicaidWA

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
I20130618000583 TX Practitioner - Internal Medicine 1658354832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Heritage PLLCGroup PAC ID 8729319793, 2 clinicians
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

2204 Joe Battle Blvd
D203
El Paso, TX 79938-4660
Phone (817) 966-3226

6151 Dew Dr
El Paso, TX 79912-3912
Phone (915) 581-9606

Hospital & facility affiliations

  • The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047
  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 91251FLMDInternal Medicine Physician
MD00047521WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Heritage PLLC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jun 1, 2013 Accepting new patients
Tenet Hospitals Limited Past Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients

Locations

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

2204 Joe Battle Blvd
#D203
El Paso, TX 79938
Phone (817) 966-3226

2204 Joe Battle Blvd
#203
El Paso, TX 79938
Phone (817) 966-3226

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1851338032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 963207",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799963207",
            "telephone_number": "915-300-2276",
            "fax_number": "866-665-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 JOE BATTLE BLVD # D204",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384660",
            "telephone_number": "915-300-2276",
            "fax_number": "866-665-6659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2204 Joe Battle Blvd Ste D203",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799384660",
            "country_code": "US",
            "telephone_number": "915-300-2276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWILOH",
        "first_name": "VICTOR",
        "middle_name": "MADUABUCHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91251",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00047521",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 91251",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N5914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "P00388656",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53528",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2757770-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "803343252B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8473498",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.