ADAEZE AZWE AGBOR (PA-C) – Medical Physician Assistant, NPI 1154645752

ADAEZE AZWE AGBOR (PA-C) is a healthcare provider. based in Houston, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA06212 (TX). The NPI Number for ADAEZE AZWE AGBOR (PA-C) is 1154645752

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
ADAEZE AZWE AGBOR (PA-C)
NPI
1154645752
Phone
(713) 864-2659
Address
2120 ASHLAND ST
Enumeration Date
25 March 2010
Last Update Date
14 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7138642659
Graduation Year
2008 (18 years ago)
PAC ID
9537323753
Group Practice PAC ID
8426055625
Professional Enrollment ID
I20120619000253
Address ID
TX770082418HO2120XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for ADAEZE AZWE AGBOR (PA-C)

  • 2120 ASHLAND ST

    HOUSTON, TX 770082418

    Phone: (713) 864-2659

    Fax: (888) 592-4044

    Type: Mailing

  • Cullen Boulevard, Houston, Harris County, Texas, 77033, United States

    SUITE C-2

    HOUSTON, TX 770474800

    Phone: (713) 734-0700

    Fax: (713) 734-2394

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $67.

Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($67).

Total Amount

$67

General + Research + Ownership

Payments

1

Total payment records

General Amount

$67

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120619000253IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77008)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426055625View full group profile
NameSpecialtyState
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX
D E R M A T O L O G YTX
Physician AssistantNC

Reviews

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Frequently asked questions

What NPI should I save for ADAEZE AZWE AGBOR (PA-C)?
Save NPI 1154645752 if you need a stable reference for ADAEZE AZWE AGBOR (PA-C).
Does this profile mean ADAEZE AZWE AGBOR (PA-C) is currently active?
Yes — ADAEZE AZWE AGBOR (PA-C) appears active in the national provider directory.
Does ADAEZE AZWE AGBOR (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for ADAEZE AZWE AGBOR (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for ADAEZE AZWE AGBOR (PA-C)?
The page summarizes Houston, Texas for ADAEZE AZWE AGBOR (PA-C); expand the address list for detail.
How can I contact ADAEZE AZWE AGBOR (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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