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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OBIYO O OSUCHUKWU MBBCH MPH
NPI 1477901478
Anesthesiology - Pain Medicine in Tyler, TX

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
1000 S BECKHAM AVE, TYLER, TX 75701(903) 596-3504(903) 596-3604 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2026, Oct 19, 2023 (2 updates tracked since 2023).

About Obiyo O Osuchukwu Mbbch Mph NPPES

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

OBIYO O OSUCHUKWU MBBCH MPH (NPI 1477901478) is an individual pain medicine provider in Tyler, Texas, licensed in Texas (V9086) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1477901478
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameOBIYO O OSUCHUKWUCredential: MBBCH MPH
Location Address1000 S BECKHAM AVETyler, TX 75701-1908
Mailing Address1000 S Beckham AveTyler, TX 75701-1908 · (903) 596-3504 · Fax (903) 596-3604
Phone(903) 596-3504
Fax(903) 596-3604
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 31, 2016
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1477901478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in TX · V9086
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 01085573A (IN)
1000 S BECKHAM AVE, Tyler, TX 75701
Open in Google Maps ↗

Secondary Practice Location 1

Location 11100 Reid PkwyRichmond, IN 47374-1157 · Phone (765) 983-3000

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

Obiyo O Osuchukwu Mbbch Mph 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 ID4385935907
PECOS Enrollment IDI20240119003369, I20251204003954
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

6

Medicare enrollment records show Obiyo Osuchukwu reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Etmc Physician Group Inc.
Same address
Cardiovascular Disease
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 636 clinicians in this Medicare group
NPI 1609382662 (903) 590-5611
University Of Texas Health Science Center At Tyler
5.2 mi
Nurse Anesthetist, Certified Registered
11937 US HIGHWAY 271
Tyler, TX 75708
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At Tyler-Facilty-Physician
  • 299 clinicians in this Medicare group
NPI 1992868186 (903) 877-7777
Emergenchealth PLLC
126 mi
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Texas enrollment
  • 1,612 clinicians in this Medicare group
NPI 1467970897 (972) 861-1270
Texas Ams PLLC
495 mi
Anesthesiology
28 N PALAFOX ST
Pensacola, FL 32502
  • Reassigned Medicare billing, Texas enrollment
  • 432 clinicians in this Medicare group
NPI 1174926125 (866) 653-2540
Billings Clinic
1,120 mi
Family Medicine
620 S HAYNES AVE
Miles City, MT 59301
  • Reassigned Medicare billing, Montana enrollment
  • 1,264 clinicians in this Medicare group
NPI 1427194836 (406) 233-7000
Granite Peak Anesthesiology Consultants
1,166 mi
Anesthesiology
2800 10TH AVE N
Billings, MT 59101
  • Reassigned Medicare billing, Montana enrollment
  • 86 clinicians in this Medicare group
NPI 1700637907 (406) 657-4000

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 5

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
41 services40 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
27 services27 patients
Anesthesia for electroshock therapy 00104
Anesthesia for electroshock therapy involves administering medications to put you into a deep sleep. This ensures you won't feel pain or remember the procedure. It's essential for your comfort and safety during the therapy.
26 services14 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
19 services19 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450690
Location11937 Us Highway 271Tyler, TX 75708 · Smith County
Emergency services

Other Providers at the Same Location NPPES 20

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

MUHAMMAD KAFEEL SARWAR M.D.
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 590-5611
JOHN GLYNN JEANSONNE CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 526-1068
MAHIDER GEDAMU
Nurse Practitioner (Acute Care)
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 597-0351
ARAMISH SAEED KHAN
Student in an Organized Health Care Education/Training Program
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 594-2269
DR. FARZAD FAKOURI M.D. , MPH
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 590-5611
SHANNON PARKER FNP-C
Nurse Practitioner (Family)
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 595-5514
ARNULFO DUARTE DO
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 590-5611
HAROLD RICHIE BANDALAN CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 526-1068

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 Obiyo Osuchukwu's NPI number?

The NPI number for Obiyo Osuchukwu is 1477901478. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Obiyo Osuchukwu located?

Obiyo Osuchukwu practices at 1000 S Beckham Ave, Tyler, TX 75701. The listed phone number is (903) 596-3504.

What is Obiyo Osuchukwu's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Obiyo Osuchukwu enrolled in Medicare?

Yes. Obiyo Osuchukwu 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 Obiyo Osuchukwu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Obiyo Osuchukwu reassigns Medicare benefits to 6 organizations: Etmc Physician Group Inc. (Tyler, TX), University Of Texas Health Science Center At Tyler (Tyler, TX), Emergenchealth PLLC (Fort Worth, TX), Texas Ams PLLC (Pensacola, FL), Billings Clinic (Miles City, MT) and 1 more organization, listed in the Medicare section above. 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 Obiyo Osuchukwu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Obiyo Osuchukwu accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Obiyo Osuchukwu 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 Obiyo Osuchukwu affiliated with any hospitals?

According to CMS data, Obiyo Osuchukwu is affiliated with Ut Health East Texas Tyler Regional Hospital and The University Of Texas Health Science Center At Tyler.

When was this NPI record last updated?

The NPPES record for Obiyo Osuchukwu was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.