Adaeze Egesi, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

P9336 Issued in TX

Practice address

18980 N Memorial Dr Ste 200
Humble, TX 77338-4498

Phone

(281) 707-6400

Fax

(281) 584-6432

NPI assigned

Mar 31, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Baylor College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Humble Dermatology PLLCGroup PAC ID 4981954443, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00154
• Direct secure messaging: aegesi@directaddress.net

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.

• Humble Dermatology PLLC

  • Dermatology Physician
  • Humble, TX
  • NPI 1679064968
  Medicare reassignment Care Compare group NPD
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146

  Dermatology

  Medicare reassignment NPD

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1982929006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18980 N MEMORIAL DR STE 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384498",
            "telephone_number": "281-707-6400",
            "fax_number": "281-584-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18980 N MEMORIAL DR STE 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384498",
            "telephone_number": "281-707-6400",
            "fax_number": "281-584-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGESI",
        "first_name": "ADAEZE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P9336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lecandra Anashia Edwards, RN
• Pauline Marie Edwards, LVN
• Effective Choice Medical Supplies, LLC
• Effective Communication LLC
• Justin Burton Egerton, PTA
• Prince Egesi, PHARMD
• Shaker Maurice Eid, MD
• Sarah Katherine Eismann
• Hamdalat M Ekemode, LPC-A
• Sundae Curtese Eldridge

• Dermatology Physician in Humble, TX
• Providers in Humble, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.