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MUKOSOLU EGWIM
NPI 1124962253
Nurse Practitioner - Psychiatric/Mental Health in Katy, TX

Active since April 17, 2026PECOS Enrolled
4415 UPLAND STREAM LN, KATY, TX 77493(512) 720-9855 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mukosolu Egwim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUKOSOLU EGWIM (NPI 1124962253) is an individual psychiatric/mental health provider in Katy, Texas, licensed in Texas (70107389) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124962253
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMUKOSOLU EGWIM
Location Address4415 UPLAND STREAM LNKaty, TX 77493-3871
Mailing Address4415 Upland Stream LnKaty, TX 77493-3871
Phone(512) 720-9855
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 17, 2026
NPPES CertifiedApril 17, 2026
✔ NPI 1124962253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 70107389
4415 UPLAND STREAM LN, Katy, TX 77493
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mukosolu Egwim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456822667
PECOS Enrollment IDI20260609001924, I20260611000716
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77493 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mukosolu Egwim's NPI number?

The NPI number for Mukosolu Egwim is 1124962253. It was assigned to this individual provider in the NPPES registry on April 17, 2026.

Where is Mukosolu Egwim located?

Mukosolu Egwim practices at 4415 Upland Stream Ln, Katy, TX 77493. The listed phone number is (512) 720-9855.

What is Mukosolu Egwim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mukosolu Egwim enrolled in Medicare?

Yes. Mukosolu Egwim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mukosolu Egwim was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.