Individual provider Active NPI

Abdi Chepkwony, APRN, FNP-C.

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1972101699
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1014295 Issued in TX
Practice address
9725 Homestead Rd
Houston, TX 77016-4403
Phone
(832) 717-2780
Fax
(832) 717-2781
NPI assigned
Oct 14, 2020
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1014295 TX Primary

Addresses

Primary practice location

9725 Homestead Rd
Houston, TX 77016-4403

Mailing address

9725 Homestead Rd
Houston, TX 77016-4403
Phone (832) 717-2780

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL HIE Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607000076 TX Practitioner - Nurse Practitioner 0749689131 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

1382 Lomaland Dr
Suite B
El Paso, TX 79935-5204
Phone (915) 633-1018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince May 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince May 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 1, 2021 Accepting new patients
Ramakrishna V Chava MD PA CurrentSince Mar 1, 2021 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

22999 Highway 59 N
Ste 204
Kingwood, TX 77339
Phone (281) 312-6313

23450 Pine Shadows Ln
Porter, TX 77365
Phone (281) 354-2155

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1972101699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 HOMESTEAD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770164403",
            "telephone_number": "832-717-2780",
            "fax_number": "832-717-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 HOMESTEAD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770164403",
            "telephone_number": "832-717-2780",
            "fax_number": "832-717-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEPKWONY",
        "first_name": "ABDI",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1014295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HIE",
            "affiliation": "N",
            "endpointDescription": "CSV",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9725 Homestead Rd",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770164403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.