NPIMap

Individual provider Active NPI

Emmanuel Achu, M.D.

  • Internal Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1891112140
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T1624 Issued in TX
Practice address
128 Vision Park Blvd Ste 130
Shenandoah, TX 77384-3021
Phone
(936) 900-6398
Fax
(888) 720-0826
NPI assigned
Mar 25, 2014
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 294810 NY
Internal Medicine Physician 207R00000X T1624 TX Primary

Addresses

Primary practice location

128 Vision Park Blvd Ste 130
Shenandoah, TX 77384-3021

Mailing address

128 Vision Park Blvd Ste 130
Shenandoah, TX 77384-3021
Phone (936) 900-6398

Other practice location 1

920 Medical Plaza Dr Ste 520
Shenandoah, TX 77380-3204
Phone (832) 562-3974

Other practice location 2

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-3233

Other practice location 3

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-7489

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
I20210728000048 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1153665153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

128 Vision Park Blvd
Suite 130
Shenandoah, TX 77384-3021
Phone (936) 900-0639

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1624TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlands Cardiovascular Center PLLC CurrentSince Dec 13, 2022 Accepting new patients

Locations

128 Vision Park Blvd
Ste 130
Shenandoah, TX 77384
Phone (832) 387-1714

Interoperability endpoints

  • Direct secure messaging: eachu846741@nychhc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBAADD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBAADD/Endpoint/DBAADD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1891112140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD STE 130",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843021",
            "telephone_number": "936-900-6398",
            "fax_number": "888-720-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD STE 130",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843021",
            "telephone_number": "936-900-6398",
            "fax_number": "888-720-0826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Medical Plaza Dr Ste 520",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803204",
            "country_code": "US",
            "telephone_number": "832-562-3974",
            "fax_number": "832-663-9378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "973-926-3233",
            "fax_number": "973-923-2441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4802 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11219",
            "country_code": "US",
            "telephone_number": "718-283-7489",
            "fax_number": "718-635-7436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHU",
        "first_name": "EMMANUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "294810",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T1624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.