Individual provider Active NPI

Omosede Evbuomwan, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1982995510
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P9188 Issued in TX
Practice address
8901 Boone Rd
Houston, TX 77099-1659
Phone
(281) 454-0521
Fax
(281) 454-0516
NPI assigned
Apr 30, 2011
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P9188 TX Primary

Addresses

Primary practice location

8901 Boone Rd
Houston, TX 77099-1659

Mailing address

8901 Boone Rd
Houston, TX 77099-1659
Phone (281) 454-0521

Other practice location 1

11345 Alamo Ranch Pkwy Ste 203
San Antonio, TX 78253-6442
Phone (210) 767-4000

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
I20141112000922 TX Practitioner - Pediatric Medicine 4880816628 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Oct 7, 2024 Accepting new patients
Christus Trinity Clinic Texas Pediatrics CurrentSince Oct 7, 2024 Accepting new patients

Locations

11345 Alamo Ranch Pkwy
Ste 203
San Antonio, TX 78253
Phone (210) 705-5151

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: oekhaguere395398@christushealth.direct-ci.net

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, 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": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1982995510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 BOONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991659",
            "telephone_number": "281-454-0521",
            "fax_number": "281-454-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 BOONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991659",
            "telephone_number": "281-454-0521",
            "fax_number": "281-454-0516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11345 Alamo Ranch Pkwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782536442",
            "country_code": "US",
            "telephone_number": "210-767-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVBUOMWAN",
        "first_name": "OMOSEDE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-30",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P9188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.