Kingsley Ugochukwu

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3210 Oakridge Ave Apt 3223
Lubbock, TX 79407-1871

Phone

(832) 429-4679

NPI assigned

Sep 20, 2022

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Texas Tech University Health Science Center School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Harris Methodist Hospital Cleburne Hospital, Cleburne, TX, CCN 450148
• Texas Health Harris Methodist Hospital Stephenvill Hospital, Stephenville, TX, CCN 450351

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Texas Health Harris Methodist Hospital Cleburne

  • General Acute Care Hospital
  • Cleburne, TX
  • NPI 1396778064
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Stephenville

  • General Acute Care Hospital
  • Stephenville, TX
  • NPI 1922031541
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1962125443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 OAKRIDGE AVE APT 3223",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794071871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 OAKRIDGE AVE APT 3223",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794071871",
            "telephone_number": "832-429-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGOCHUKWU",
        "first_name": "KINGSLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisha Tyler, LMFT
• Holly Jen Tyson, P.A.-C
• Kirsti Uballe, LPC-A
• Ucg Central Texas Holdings LLC (14th St)
• Iboro Obot Udoete, MD
• Crystal Chisom Ukachukwu, MD
• Ibidunni Omolayo Ukegbu, MD
• Onyinye Joy Ukelegharanya, RN
• Asad Ullah, MD
• Iraj Ullah, DO

• Physician Assistant in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.

Verify at the official NPI Registry.