Individual provider Active NPI

Ebelechukwu Odiari, M.D.

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1942645932
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
BP10046566 Issued in TX
Practice address
1504 Taub Loop
Ben Taub General Hospital, Emergency Medicine Section
Houston, TX 77030-1608
Phone
(713) 873-7045
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X BP10046566 TX Primary

Addresses

Primary practice location

1504 Taub Loop
Ben Taub General Hospital, Emergency Medicine Section
Houston, TX 77030-1608

Mailing address

1504 Taub Loop
Ben Taub General Hospital, Emergency Medicine Section
Houston, TX 77030-1608
Phone (713) 873-7045

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
I20160512002469 TX Practitioner - Emergency Medicine 8325337462 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Yale University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Hospital Based Physician GroupGroup PAC ID 4385075480, 272 clinicians

Practice addresses (Care Compare)

921 Gessner Rd
Houston, TX 77024-2501
Phone (713) 338-6565

Hospital & facility affiliations

  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
70.82
Promoting interoperability
100
Improvement activities
40
Cost
67.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10046566TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Memorial Hermann Hospital Based Physician Group Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Nov 15, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients

Locations

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

9645 Barker Cypress Rd
Cypress, TX 77433
Phone (281) 256-1456

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

26271 Northwest Fwy
Cypress, TX 77429
Phone (281) 949-1500

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

22475 Tomball Pkwy
Houston, TX 77070
Phone (281) 320-5800

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

2555 Gulf Fwy S
#C1100
League City, TX 77573

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

9250 Pinecroft Dr
#C
Shenandoah, TX 77380

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

Interoperability endpoints

  • Direct secure messaging: eodiari1257629@ahs.direct-ci.com

Organizations & group practices 5

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 9

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": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1942645932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "address_2": "BEN TAUB GENERAL HOSPITAL, EMERGENCY MEDICINE SECTION",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-873-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "address_2": "BEN TAUB GENERAL HOSPITAL, EMERGENCY MEDICINE SECTION",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-873-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIARI",
        "first_name": "EBELECHUKWU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "BP10046566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.