Individual provider Active NPI

Michael Azubuike Uwaelue, FNP-BC

  • Family Nurse Practitioner
  • Bellaire, TX
National Provider Identifier
1992352660
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142044 Issued in TX
Practice address
6565 West Loop S Ste 525
Bellaire, TX 77401-3519
Phone
(713) 661-7888
NPI assigned
Aug 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 209538 TX
Family Nurse Practitioner 363LF0000X 209538 LA
Family Nurse Practitioner 363LF0000X AP142044 TX Primary

Addresses

Primary practice location

6565 West Loop S Ste 525
Bellaire, TX 77401-3519

Mailing address

6565 West Loop S Ste 525
Bellaire, TX 77401-3519
Phone (713) 661-7888

Other practice location 1

4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone (817) 796-7370

Other practice location 2

1950 Ephriham Ave
Fort Worth, TX 76164-6670
Phone (817) 813-7075

Other practice location 3

2360 Gus Thomasson Rd
Dallas, TX 75228-3005
Phone (214) 301-7071

Other practice location 4

2110 N Galloway Ave Ste 116
Mesquite, TX 75150-5737
Phone (972) 426-5426

Other practice location 5

2928 N Belt Line Rd
Irving, TX 75062-5247
Phone (214) 307-7786

Other practice location 6

1515 S Buckner Blvd Ste 141
Dallas, TX 75217-1794
Phone (214) 305-7065

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830000311 TX Practitioner - Nurse Practitioner 2668889189 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209538TXMDOccupational Therapy Assistant
209538LAMDFamily Nurse Practitioner
AP142044TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC Family Medicine CurrentSince Apr 21, 2022 Accepting new patients
Golden Life Wellness Center DFW LLC Family Medicine PastSince Jul 9, 2025 Accepting new patients

Locations

1515 S Buckner Blvd
Ste 141
Dallas, TX 75217
Phone (214) 305-7065

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

1950 Ephriham Ave
Fort Worth, TX 76164
Phone (817) 813-7075

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

2928 N Belt Line Rd
Irving, TX 75062
Phone (214) 307-7786

2110 N Galloway Ave
Ste 116
Mesquite, TX 75150
Phone (972) 426-5426

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1992352660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 525",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013519",
            "telephone_number": "713-661-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 525",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013519",
            "telephone_number": "713-661-7888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4115 E Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761033614",
            "country_code": "US",
            "telephone_number": "817-796-7370",
            "fax_number": "817-764-0714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Ephriham Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761646670",
            "country_code": "US",
            "telephone_number": "817-813-7075",
            "fax_number": "817-764-0656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2360 Gus Thomasson Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752283005",
            "country_code": "US",
            "telephone_number": "214-301-7071",
            "fax_number": "469-535-8772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 N Galloway Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751505737",
            "country_code": "US",
            "telephone_number": "972-426-5426",
            "fax_number": "459-646-8812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2928 N Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750625247",
            "country_code": "US",
            "telephone_number": "214-307-7786",
            "fax_number": "469-460-9091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 S Buckner Blvd Ste 141",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752171794",
            "country_code": "US",
            "telephone_number": "214-305-7065",
            "fax_number": "469-574-0383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UWAELUE",
        "first_name": "MICHAEL",
        "middle_name": "AZUBUIKE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "209538",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "209538",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.