DR. OBIORA EMMANUEL EGBUCHE MD
NPI 1164818464
Internal Medicine - Interventional Cardiology in El Paso, TX

Q: What is Obiora Egbuche's NPI number?

The NPI number for Obiora Egbuche is 1164818464. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Q: What is Obiora Egbuche's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Obiora Egbuche was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment

82.28/100

CMS Quality Rating

1368 N ZARAGOZA RD, BLDG A, SUITE A, EL PASO, TX 79936(915) 615-7155(915) 615-3948 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2024, Jul 9, 2024, Apr 17, 2024 and 2 more (5 updates tracked since 2021).

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About Dr. Obiora Emmanuel Egbuche Md NPPES

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

DR. OBIORA EMMANUEL EGBUCHE MD (NPI 1164818464) is an individual interventional cardiology provider in El Paso, Texas, licensed in Texas (T5552) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1164818464

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. OBIORA EMMANUEL EGBUCHECredential: MD

Location Address1368 N ZARAGOZA RD, BLDG A, SUITE AEl Paso, TX 79936-8030

Mailing Address1368 N Zaragoza Rd, Building A, Suite AEl Paso, TX 79936-8030 · (915) 615-7155 · Fax (915) 615-3948

Phone(915) 615-7155

Fax(915) 615-3948

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 13, 2015

Last NPPES UpdateSeptember 17, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2024

✔ NPI 1164818464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in TX · T5552✔ Licensed in KY · 56702✔ Licensed in IA · MD-52370

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 56702 (KY), MD-52370 (IA), T5552 (TX)

1368 N ZARAGOZA RD, BLDG A, SUITE A, El Paso, TX 79936

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Obiora Emmanuel Egbuche Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335490101

PECOS Enrollment IDI20231222002324, I20251002004064

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.

Medicare Billing Reassignments

Medicare enrollment records show Obiora Egbuche reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piccadilly Cardiovascular Access

Same address

Interventional Cardiology

1368 N ZARAGOZA RD, BUILDING A SUITE A
El Paso, TX 79936

Reassigned Medicare billing, Texas enrollment

NPI 1659156453 (915) 615-7155

T J Samson Community Hospital

1,217 mi

Family Medicine

310 N L ROGERS WELLS BLVD
Glasgow, KY 42141

Reassigned Medicare billing, Kentucky enrollment
323 clinicians in this Medicare group

NPI 1477609865 (270) 651-1111

Wellstar Medical Group, LLC

1,254 mi

Internal Medicine

600 W MEMORIAL DR
Dallas, GA 30132

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1063790350 (770) 443-4767

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

166 services150 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

99 services51 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

82 services82 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

72 services71 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

66 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

49 services45 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

47 services47 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

40 services34 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

18 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110016

Location1514 Vernon RoadLagrange, GA 30240 · Troup County

Emergency services Birthing friendly

Las Palmas Medical Center A Campus Of Lpds Healthc

Acute Care Hospitals · El Paso, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450107

Location1801 North Oregon StreetEl Paso, TX 79902 · El Paso County

Emergency services Birthing friendly

The Hospitals Of Providence - East Campus

Acute Care Hospitals · El Paso, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number670047

Location3280 Joe Battle BlvdEl Paso, TX 79938 · El Paso County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79936 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.81

Promoting Interoperability

Improvement Activities

Cost

52.95

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 Obiora Egbuche's NPI number?

The NPI number for Obiora Egbuche is 1164818464. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Obiora Egbuche located?

Obiora Egbuche practices at 1368 N Zaragoza Rd, Bldg A, Suite A, El Paso, TX 79936. The listed phone number is (915) 615-7155.

What is Obiora Egbuche's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Obiora Egbuche enrolled in Medicare?

Yes. Obiora Egbuche is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Obiora Egbuche's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Obiora Egbuche reassigns Medicare benefits to 3 organizations: Piccadilly Cardiovascular Access (El Paso, TX), T J Samson Community Hospital (Glasgow, KY) and Wellstar Medical Group, LLC (Dallas, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Obiora Egbuche's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Obiora Egbuche accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Obiora Egbuche as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Obiora Egbuche affiliated with any hospitals?

According to CMS data, Obiora Egbuche is affiliated with Wellstar West Georgia Medical Center, Las Palmas Medical Center A Campus Of Lpds Healthc and The Hospitals Of Providence - East Campus.

When was this NPI record last updated?

The NPPES record for Obiora Egbuche was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.