Active NPI
Victor Maduabuchi Nwiloh, M.D.
- Internal Medicine Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N5914
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00388656 | Other | WA | RR MCARE |
| 53528 | Other | FL | BCBS |
| 2757770-00 | Medicaid | FL | |
| 803343252B | Medicaid | GA | |
| 8473498 | Medicaid | WA |
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
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- El Paso Therapy Services, Inc.
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
- Las Palmas Medical Center a Campus of LPDS Healthc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 91251 | FL | MD | Internal Medicine Physician |
| MD00047521 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Heritage PLLC | Internal Medicine | Current | Accepting new patients |
| Lonestar Hospital Medicine Associates, PA | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1851852297
-
- Family Medicine Physician
- Mansfield, TX
- NPI 1386068104
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Internal Medicine
-
- Physical Therapist
- El Paso, TX
- NPI 1821619115
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1770536120
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1972709970
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1770536120
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1972709970
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.