IJEOMA O NWAEZE (MD) – Sports Medicine (Family Medicine) Physician, NPI 1477547826
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
496 SPORTS MEDICINE in TX
Provider Addresses for IJEOMA O NWAEZE (MD)
Shadow Creek Parkway, Pearland, Brazoria County, Texas, 77047-4593, United States
PEARLAND, TX 775847298
Phone: (713) 442-0000
Type: Mailing
106 Vision Park Blvd
Shenandoah, TX 773843000
Phone: (713) 442-1800
Type: Location
15655 Cypress Wood Medical Dr Ste 100
Houston, TX 770141487
Phone: (713) 442-1700
Type: Location
8233 N Sam Houston Pkwy E
Humble, TX 773962922
Phone: (713) 442-2000
Type: Location
10701 VINTAGE PRESERVE PKWY
HOUSTON, TX 770702158
Phone: (713) 442-1500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2014-11-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141106000879 | I | Sports Medicine | TX | TBD |
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.
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 77584)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 20 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Family Practice | TX | |
| - | TX | |
| Hospitalist, Internal Medicine | TX | |
| N E U R O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | TX | |
| - | TX | |
| Family Practice | TX | |
| Physician Assistant | MA |
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