VICTOR OSAGIE AGHATISE PA
NPI 1184852469
Physician Assistant - Medical in Houston, TX

Active since June 25, 2009PECOS Enrolled
17567 IMPERIAL VALLEY DR, HOUSTON, TX 77060(281) 877-0187(281) 877-0189 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Victor Osagie Aghatise Pa NPPES

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

VICTOR OSAGIE AGHATISE PA (NPI 1184852469) is an individual medical provider in Houston, Texas, licensed in Texas (PA06283) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184852469
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameVICTOR OSAGIE AGHATISECredential: PA
Location Address17567 IMPERIAL VALLEY DRHouston, TX 77060-6102
Mailing Address17567 Imperial Valley DrHouston, TX 77060-6102 · (281) 877-0187 · Fax (281) 877-0189
Fax(281) 877-0189
Sole ProprietorNo
Enumeration DateJune 25, 2009
Last NPPES UpdateNovember 14, 2014
NPI 1184852469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA06283
17567 IMPERIAL VALLEY DR, Houston, TX 77060

Other Identifiers 2

Medicare PIN8L16150TX
Medicare PIN8L16151TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Victor Osagie Aghatise Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
17567 IMPERIAL VALLEY DR
HOUSTON, TX 77060
Nurse Practitioner (Family)
17567 IMPERIAL VALLEY DR
HOUSTON, TX 77060
Nurse Practitioner
17567 IMPERIAL VALLEY DR
HOUSTON, TX 77060
Nurse Practitioner (Family)
17567 IMPERIAL VALLEY DR
HOUSTON, TX 77060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184852469, enumerated as an "individual" on June 25, 2009.

The provider is located at 17567 IMPERIAL VALLEY DR HOUSTON, TX 77060 and the phone number is (281) 877-0187.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.