Individual provider Active NPI

Ngozi Nwizu, BDS, MMSC, PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
National Provider Identifier
1972918266
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
29871 Issued in TX
Practice address
7500 Cambridge Street, Suite 5361
Uthsch School of Dentistry, Diagnostic & Biomedical Sci
Houston, TX 77054
Phone
(713) 486-4316
Fax
(713) 486-4416
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 29871 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 29871 TX Primary

Addresses

Primary practice location

7500 Cambridge Street, Suite 5361
Uthsch School of Dentistry, Diagnostic & Biomedical Sci
Houston, TX 77054

Mailing address

7500 Cambridge Street, Suite 5361
Uthsch School of Dentistry, Diagnostic & Biomedical Sci
Houston, TX 77054
Phone (713) 486-4316

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150226000227 TX Practitioner - Oral Surgery 3274859806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-4000

6431 Fannin St
Houston, TX 77030-1501
Phone (713) 500-5301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at Houston CurrentSince Oct 16, 2014 Accepting new patients
University of Texas Health Science Center at Houston Anatomic Pathology & Clinical Pathology CurrentSince Aug 15, 2024 Accepting new patients
The University of Texas Health Science Center at Houston CurrentSince Aug 15, 2024 Accepting new patients

Locations

7500 Cambridge St
Ste 5371
Houston, TX 77054
Phone (713) 486-4405

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

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.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1972918266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 CAMBRIDGE STREET, SUITE 5361",
            "address_2": "UTHSCH SCHOOL OF DENTISTRY, DIAGNOSTIC & BIOMEDICAL SCI",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "713-486-4316",
            "fax_number": "713-486-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 CAMBRIDGE STREET, SUITE 5361",
            "address_2": "UTHSCH SCHOOL OF DENTISTRY, DIAGNOSTIC & BIOMEDICAL SCI",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "713-486-4316",
            "fax_number": "713-486-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWIZU",
        "first_name": "NGOZI",
        "name_prefix": "Dr.",
        "credential": "BDS, MMSC, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "29871",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "29871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.