NPIMap

Individual provider Active NPI

George Amechi Osuchukwu, M.D.

  • Nephrology Physician
  • Victoria, TX
National Provider Identifier
1962612887
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N9759 Issued in TX
Practice address
605 E San Antonio St Ste 430E
Victoria, TX 77901-6007
Phone
(361) 576-0011
Fax
(361) 576-4084
NPI assigned
May 22, 2007
Last updated
Feb 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X N9759 TX Primary
Internal Medicine Physician 207R00000X N9759 TX

Addresses

Primary practice location

605 E San Antonio St Ste 430E
Victoria, TX 77901-6007

Mailing address

605 E San Antonio St Ste 430E
Victoria, TX 77901-6007
Phone (361) 576-0011

Other identifiers 1

IdentifierTypeStateIssuer
282984801MedicaidTX

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
I20110707000056 TX Practitioner - NephrologyPractitioner - Internal Medicine 9739367178 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Victoria Kidney and Dialysis AssociatesGroup PAC ID 8820086788, 3 clinicians

Practice addresses (Care Compare)

605 E San Antonio St
Suite 430E
Victoria, TX 77901-6007
Phone (361) 576-0011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen's Medical Center County of Victoria Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Victoria Kidney & Dialysis Associates Nephrology CurrentSince Jul 1, 2011 Accepting new patients
Citizens Medical Center County of Victoria PastSince Jul 1, 2011 Accepting new patients

Locations

102 Medical Dr
Victoria, TX 77904
Phone (361) 576-6200

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

605 E San Antonio St
Ste 430E
Victoria, TX 77901
Phone (361) 576-0011

Interoperability endpoints

  • Direct secure messaging: george.osuchukwu@direct.davitaphysiciansolutions.com
  • Direct secure messaging: gosuchukwu358840@christushealth.direct-ci.net

Organizations & group practices 4

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1962612887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST STE 430E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016007",
            "telephone_number": "361-576-0011",
            "fax_number": "361-576-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST STE 430E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016007",
            "telephone_number": "361-576-0011",
            "fax_number": "361-576-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUCHUKWU",
        "first_name": "GEORGE",
        "middle_name": "AMECHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N9759",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N9759",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282984801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.