Individual provider Active NPI

Efosa Airuehia, MD

  • Psychiatry Physician
  • Frisco, TX
National Provider Identifier
1972767986
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q2227 Issued in TX
Practice address
11330 Legacy Dr Ste 103
Frisco, TX 75033-1210
Phone
(469) 777-4691
Fax
(469) 777-4542
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X Q2227 TX
Psychiatry Physician 2084P0800X 2011027713 MO
Child & Adolescent Psychiatry Physician 2084P0804X Q2227 TX
Psychiatry Physician 2084P0800X Q2227 TX Primary

Addresses

Primary practice location

11330 Legacy Dr Ste 103
Frisco, TX 75033-1210

Mailing address

11330 Legacy Dr Ste 103
Frisco, TX 75033-1210
Phone (469) 777-4691

Other practice location 1

6221 Chapel Hill Blvd Ste 300
Plano, TX 75093-4750
Phone (469) 777-4691

Other practice location 2

620 N Kimball Ave Ste 110
Southlake, TX 76092-6856
Phone (469) 777-4691

Other practice location 3

4901 Windhaven Pkwy Ste 200
The Colony, TX 75056-6828
Phone (469) 777-4691

Other practice location 4

5910 Courtyard Dr Ste 330
Austin, TX 78731-3334
Phone (512) 377-2500

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
I20150824000147 TX Practitioner - PsychiatryPractitioner - Neurology 3375784085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Psychiatry PAGroup PAC ID 1557678844, 3 clinicians

Practice addresses (Care Compare)

11330 Legacy Dr
Suite 103
Frisco, TX 75033-1210
Phone (469) 777-4691

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011027713MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Psychiatry PA Addiction Medicine CurrentSince Jul 6, 2015 Accepting new patients
Psychiatric Consultants of Fort Worth Psychiatry CurrentSince Jun 16, 2024 Accepting new patients

Locations

5910 Courtyard Dr
Ste 330
Austin, TX 78731
Phone (512) 377-2500

8380 Warren Pkwy
Ste 602
Frisco, TX 75034
Phone (469) 200-4093

11330 Legacy Dr
Ste 103
Frisco, TX 75033
Phone (469) 221-9267

819 Water St
Ste 300
Kerrville, TX 78028
Phone (830) 258-5430

6221 Chapel Hill Blvd
Ste 300
Plano, TX 75093
Phone (469) 777-4691

100 N Central Expy
Ste 300
Richardson, TX 75080
Phone (469) 777-4691

2435 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (469) 777-4691

620 N Kimball Ave
Ste 110
Southlake, TX 76092
Phone (469) 777-4691

4901 Windhaven Pkwy
Ste 200
The Colony, TX 75056
Phone (469) 777-4688

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1972767986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 LEGACY DR STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331210",
            "telephone_number": "469-777-4691",
            "fax_number": "469-777-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 LEGACY DR STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331210",
            "telephone_number": "469-777-4691",
            "fax_number": "469-777-4542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6221 Chapel Hill Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750934750",
            "country_code": "US",
            "telephone_number": "469-777-4691",
            "fax_number": "469-777-4542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 N Kimball Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926856",
            "country_code": "US",
            "telephone_number": "469-777-4691",
            "fax_number": "469-777-4542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4901 Windhaven Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "The Colony",
            "state": "TX",
            "postal_code": "750566828",
            "country_code": "US",
            "telephone_number": "469-777-4691",
            "fax_number": "469-777-4542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5910 Courtyard Dr Ste 330",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787313334",
            "country_code": "US",
            "telephone_number": "512-377-2500",
            "fax_number": "469-777-4542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AIRUEHIA",
        "first_name": "EFOSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TX",
            "license": "Q2227",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2011027713",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "Q2227",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.