NPIMap

Individual provider Active NPI

Chinedu I Nwankwo, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1982048260
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q9458 Issued in TX
Practice address
12435 N Rachlin Cir
Houston, TX 77071
Phone
(832) 232-2356
Fax
(281) 783-2005
NPI assigned
Apr 17, 2013
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q9458 TX Primary
Family Medicine Physician 207Q00000X 17721 NH

Addresses

Primary practice location

12435 N Rachlin Cir
Houston, TX 77071

Mailing address

12435 N Rachlin Cir
Houston, TX 77071-2819
Phone (832) 232-2356

Other practice location 1

1501 Kings Hwy
Family Medicine
Shreveport, LA 71103-4228
Phone (318) 675-5805

Other practice location 2

8307 Knight Rd
Houston, TX 77054-3905
Phone (832) 836-0056

Other practice location 3

8307 Knight Rd
Houston, TX 77054-3905
Phone (832) 836-0056

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
I20170221000181 TX Practitioner - Family Practice 0345528410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cinnap PLLCGroup PAC ID 5395006316, 2 clinicians

Practice addresses (Care Compare)

13428 Bissonnet St
Houston, TX 77083-6275
Phone (832) 998-5505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17721NHMDFamily Medicine Physician
Q9458TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cinnap, PLLC Family Medicine CurrentSince Dec 16, 2017 Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
Fpacp Houston LLC Past Accepting new patients
Liberty County Hospital District No. 1 Past Accepting new patients
Bellville Hospital District Past Accepting new patients
J and B Associates LLC Past Accepting new patients
Fpacp Webster LLC Past Accepting new patients

Locations

13428 Bissonnet St
Houston, TX 77083
Phone (210) 757-4987

1615 Hillendahl Blvd
Houston, TX 77055
Phone (713) 365-0561

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chelsea GardensMissouri City, TX, CCN 676334 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 5

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": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1982048260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12435 N RACHLIN CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712819",
            "telephone_number": "832-232-2356",
            "fax_number": "281-783-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12435 N RACHLIN CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77071",
            "telephone_number": "832-232-2356",
            "fax_number": "281-783-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Kings Hwy",
            "address_2": "Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-675-5805",
            "fax_number": "318-675-7950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8307 Knight Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770543905",
            "country_code": "US",
            "telephone_number": "832-836-0056",
            "fax_number": "832-201-7171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8307 Knight Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770543905",
            "country_code": "US",
            "telephone_number": "832-836-0056",
            "fax_number": "832-201-7171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWANKWO",
        "first_name": "CHINEDU",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9458",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "17721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.