NPIMap

Individual provider Active NPI

Oforbuike Chukwunenye Ewelukwa, MD

  • Gastroenterology Physician
  • Katy, TX
National Provider Identifier
1891094561
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
R3503 Issued in TX
Practice address
23920 Katy Fwy Ste 215
Katy, TX 77494-0881
Phone
(281) 766-0331
Fax
(281) 665-7915
NPI assigned
Mar 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X R3503 TX Primary
Internal Medicine Physician 207R00000X 35.122783 OH

Addresses

Primary practice location

23920 Katy Fwy Ste 215
Katy, TX 77494-0881

Mailing address

23920 Katy Fwy Ste 215
Katy, TX 77494-0881
Phone (281) 766-0331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170928000068 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 4981832441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23920 Katy Fwy
Suite 215
Katy, TX 77494-0881
Phone (281) 766-0331

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Memorial Hermann Rehabilitation Hospital Katy Inpatient rehabilitation facility, Katy, TX, CCN 673038

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy131
Upper gastrointestinal (GI) endoscopy for acid reflux125

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Digestive Health Specialists PLLC Gastroenterology CurrentSince Aug 24, 2019 Accepting new patients
Mercy Medical Center Current Accepting new patients
South Dayton Acute Care Consultants, Inc Internal Medicine PastSince Feb 24, 2014 Accepting new patients

Locations

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

23920 Katy Fwy
Ste 215
Katy, TX 77494
Phone 28134726004

Interoperability endpoints

  • Direct secure messaging: oewelukwa65672@memorialhermann.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGGJBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGGJBD/Endpoint/JGGJBD

Organizations & group practices 3

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 10

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1891094561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY STE 215",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940881",
            "telephone_number": "281-766-0331",
            "fax_number": "281-665-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY STE 215",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940881",
            "telephone_number": "281-766-0331",
            "fax_number": "281-665-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWELUKWA",
        "first_name": "OFORBUIKE",
        "middle_name": "CHUKWUNENYE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "R3503",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.122783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.