MS. RENITA MADU P.A. - NPI 1376774869 - Physician Assistant in Pearland, TX

Q: What is Renita Madu's NPI number?

The NPI number for Renita Madu is 1376774869. It was assigned to this individual provider in the NPPES registry on July 31, 2009.

Q: What is Renita Madu's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Renita Madu was last updated on April 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

On this page

About Ms. Renita Madu P.a. NPPES

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

MS. RENITA MADU P.A. (NPI 1376774869) is an individual medical provider in Pearland, Texas, licensed in Texas (PA05780) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376774869

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. RENITA MADUCredential: P.A.

Location Address12004 SHADOW CREEK PKWY, SUITE 121Pearland, TX 77584-7326

Mailing Address12004 Shadow Creek Pkwy, Suite 121Pearland, TX 77584-7326 · (281) 968-9290 · Fax (281) 463-1432

Phone(281) 968-9290

Fax(281) 463-1432

Sole ProprietorNo

Enumeration DateJuly 31, 2009

Last NPPES UpdateApril 25, 2013

✔ NPI 1376774869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA05780

12004 SHADOW CREEK PKWY, Pearland, TX 77584

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Other Identifiers 1

Medicaid111687302TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Renita Madu P.a. 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.

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 Renita Madu's NPI number?

The NPI number for Renita Madu is 1376774869. It was assigned to this individual provider in the NPPES registry on July 31, 2009.

Where is Renita Madu located?

Renita Madu practices at 12004 Shadow Creek Pkwy Suite 121, Pearland, TX 77584. The listed phone number is (281) 968-9290.

What is Renita Madu's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Renita Madu enrolled in Medicare?

Yes. Renita Madu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Renita Madu was last updated on April 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.