JOSEPHA IMMANUEL M.D
NPI 1578853586
Psychiatry & Neurology - Child & Adolescent Psychiatry in Houston, TX

Active since April 11, 2011PECOS Enrolled
5602 LYONS AVE, HOUSTON, TX 77020(832) 548-5000 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 13, 2024, Aug 20, 2018, Feb 2, 2017 and 1 more (4 updates tracked since 2016).

About Josepha Immanuel M.d NPPES

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

JOSEPHA IMMANUEL M.D (NPI 1578853586) is an individual child & adolescent psychiatry provider in Houston, Texas, licensed in Texas (R0252) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1578853586
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameJOSEPHA IMMANUELCredential: M.D
Location Address5602 LYONS AVEHouston, TX 77020
Mailing AddressPo Box 66308Houston, TX 77266-6308
Sole ProprietorNo
Enumeration DateApril 11, 2011
Last NPPES UpdateDecember 13, 20244 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1578853586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in TX · R0252✔ Licensed in IN · 01094972A
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
5602 LYONS AVE, Houston, TX 77020

Other Names 1

Former Name (1)Josepha-pearl Aigbodesi Iluonakhamhe Md

Secondary Practice Location 1

Location 12400 17th StColumbus, IN 47201-5351 · Phone (812) 376-5016

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Josepha Immanuel M.d 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Josepha Immanuel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
103 WILLOW ST, SUITE B
Nashville, IN 47448
  • Reassigned Medicare billing, Indiana enrollment
  • 235 clinicians in this Medicare group
Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
General Acute Care Hospital
500 S OAKWOOD RD
Oshkosh, WI 54904
  • Reassigned Medicare billing, Wisconsin enrollment
  • 194 clinicians in this Medicare group
General Acute Care Hospital
240 MAPLE ST
Woodruff, WI 54568
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
  • 358 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

Pharmacy
5602 LYONS AVE
HOUSTON, TX 77020
Student in an Organized Health Care Education/Training Program
5602 LYONS AVE
HOUSTON, TX 77020
Counselor (Professional)
5602 LYONS AVE
HOUSTON, TX 77020
Counselor (Professional)
5602 LYONS AVE
HOUSTON, TX 77020
Physician Assistant
5602 LYONS AVE
HOUSTON, TX 77020
Pharmacist
5602 LYONS AVE
HOUSTON, TX 77020
Dentist (General Practice)
5602 LYONS AVE
HOUSTON, TX 77020
Pharmacist
5602 LYONS AVE
HOUSTON, TX 77020

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 Josepha Immanuel's NPI number?

The NPI number for Josepha Immanuel is 1578853586. It was assigned to this individual provider in the NPPES registry on April 11, 2011. The provider is also known as Josepha-Pearl Aigbodesi Iluonakhamhe MD.

Where is Josepha Immanuel located?

Josepha Immanuel practices at 5602 Lyons Ave, Houston, TX 77020. The listed phone number is (832) 548-5000.

What is Josepha Immanuel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Josepha Immanuel enrolled in Medicare?

Yes. Josepha Immanuel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Josepha Immanuel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josepha Immanuel reassigns Medicare benefits to 4 organizations: Columbus Regional Health Physicians, LLC (Nashville, IN), Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI), Ascension NE Wisconsin, Inc (Oshkosh, WI) and The Howard Young Medical Center, Inc. (Woodruff, WI). 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 Josepha Immanuel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Josepha Immanuel accept?

Health plans from CareSource and UnitedHealthcare list Josepha Immanuel 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.

When was this NPI record last updated?

The NPPES record for Josepha Immanuel was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.