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DR. NNEKA EDOKPAYI MD
NPI 1205064102
Internal Medicine in Sugar Land, TX

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment
118 ELDRIDGE RD STE A, SUGAR LAND, TX 77478(832) 564-3526(888) 273-0398 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2019, Jan 10, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Nneka Edokpayi Md NPPES

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

DR. NNEKA EDOKPAYI MD (NPI 1205064102) is an individual internal medicine provider in Sugar Land, Texas, licensed in Texas (P3145) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Northwest, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1205064102
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NNEKA EDOKPAYICredential: MD
Location Address118 ELDRIDGE RD STE ASugar Land, TX 77478-4695
Mailing Address118 Eldridge Rd Ste ASugar Land, TX 77478-4695 · (832) 564-3526 · Fax (888) 273-0398
Phone(832) 564-3526
Fax(888) 273-0398
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2009
Enumeration DateJune 30, 2009
Last NPPES UpdateMarch 18, 20245 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
✔ NPI 1205064102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · P3145
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
118 ELDRIDGE RD STE A, Sugar Land, TX 77478
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Secondary Practice Location 1

Location 117070 Red Oak Dr Ste 309Houston, TX 77090-2616 · Phone (202) 492-8519 · Fax (888) 273-0398

Other Identifiers 3

Medicaid321205215TX
Medicaid321205216TX
Medicaid321205214TX

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nneka Edokpayi 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 ID6709027899
PECOS Enrollment IDI20130801000608
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.

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Northwest

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450638
Location710 Cypress Creek ParkwayHouston, TX 77090 · Harris County
Emergency services Birthing friendly

Tops Surgical Specialty Hospital

Acute Care Hospitals · Houston, TX
OwnershipPhysician
CMS Certification Number450774
Location17080 Red Oak DriveHouston, TX 77090 · Harris County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77478 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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
83%254 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
47%64 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
47%64 patients4/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers16 claims16 services$44.23 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers31 claims31 services$14.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers31 claims31 services$62.62 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers38 claims38 services$11.84 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers26 claims26 services$5.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

FUNCTIONAL MEDICINE & WELLNESS ASSOCIATES PLLC
Clinic/Center (Primary Care)
118 ELDRIDGE RD STE A
SUGAR LAND, TX 77478
Fort Bend County (713) 572-5311
NNEKA EDOKPAYI MD PLLC
Internal Medicine
118 ELDRIDGE RD STE A
SUGAR LAND, TX 77478
Fort Bend County (832) 564-3526

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 Nneka Edokpayi's NPI number?

The NPI number for Nneka Edokpayi is 1205064102. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Nneka Edokpayi located?

Nneka Edokpayi practices at 118 Eldridge Rd Ste A, Sugar Land, TX 77478. The listed phone number is (832) 564-3526.

What is Nneka Edokpayi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nneka Edokpayi enrolled in Medicare?

Yes. Nneka Edokpayi 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.

What insurance does Nneka Edokpayi 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 5 other insurers list Nneka Edokpayi 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 Nneka Edokpayi affiliated with any hospitals?

According to CMS data, Nneka Edokpayi is affiliated with Hca Houston Healthcare Northwest and Tops Surgical Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Nneka Edokpayi was last updated on March 18, 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.