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CRYSTAL CHISOM UKACHUKWU MD
NPI 1477245322
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Active since May 22, 2023PECOS Enrolled
DEPARTMENT OF SURGERY 3601 4TH STREET, LUBBOCK, TX 79430(806) 743-2370 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Chisom Ukachukwu Md NPPES

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

CRYSTAL CHISOM UKACHUKWU MD (NPI 1477245322) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477245322
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCRYSTAL CHISOM UKACHUKWUCredential: MD
Location AddressDEPARTMENT OF SURGERY 3601 4TH STREETLubbock, TX 79430-8312
Mailing AddressDepartment Of Surgery 3601 4th StreetLubbock, TX 79430-8312 · (806) 743-2370
Phone(806) 743-2370
Sole ProprietorNo
Enumeration DateMay 22, 2023
NPPES CertifiedMay 20, 2023
✔ NPI 1477245322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
DEPARTMENT OF SURGERY 3601 4TH STREET, Lubbock, TX 79430
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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)

Crystal Chisom Ukachukwu Md 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 Crystal Ukachukwu's NPI number?

The NPI number for Crystal Ukachukwu is 1477245322. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Crystal Ukachukwu located?

Crystal Ukachukwu practices at Department Of Surgery 3601 4th Street, Lubbock, TX 79430. The listed phone number is (806) 743-2370.

What is Crystal Ukachukwu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Crystal Ukachukwu enrolled in Medicare?

Yes. Crystal Ukachukwu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crystal Ukachukwu was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.