Active NPI
Chibuzo C. O'Suoji, M.D.
- Pediatric Hematology & Oncology Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 46303
- Practice address
- 602 Indiana Ave
Lubbock, TX 79415 - Phone
- (806) 775-8600
- Fax
- (806) 775-8602
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 46303 | TX | Primary |
Addresses
Primary practice location
602 Indiana Ave
Lubbock, TX 79415
Mailing address
PO Box 5865
Lubbock, TX 79408-5865
Phone (806) 743-2898
Other practice location 1
830 Pennsylvania Ave
Suite 103
Charleston, WV 25302
Phone (304) 388-1552
Other practice location 2
830 Pennsylvania Ave
Suite 103
Charleston, WV 25302
Phone (304) 388-1552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810021936 | Medicaid | WV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chibuzo.osuoji@direct.myteamcare.com |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients |
Locations
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
3502 9th St
Ste 130
Lubbock, TX 79415
Phone (806) 743-1188
Interoperability endpoints
- chibuzo.osuoji@direct.myteamcare.com
- cosuoji1310358@ahs.direct-ci.com
- cosuoji1929772@oc.providencedirect.org
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.
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Pediatrics Physician
- Lubbock, TX
- NPI 1972552263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1952523458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5865",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794085865",
"telephone_number": "806-743-2898",
"fax_number": "806-743-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 INDIANA AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79415",
"telephone_number": "806-775-8600",
"fax_number": "806-775-8602"
}
],
"practiceLocations": [
{
"address_1": "830 Pennsylvania Ave",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "25302",
"country_code": "US",
"telephone_number": "304-388-1552",
"fax_number": "304-388-1577",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "830 Pennsylvania Ave",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "25302",
"country_code": "US",
"telephone_number": "304-388-1552",
"fax_number": "304-388-1577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'SUOJI",
"first_name": "CHIBUZO",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "TX",
"license": "46303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810021936",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chibuzo.osuoji@direct.myteamcare.com",
"affiliation": "N",
"address_1": "3601 4th St",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794300002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.