UGHANMWAN EFEOVBOKHAN (NP) – Gerontology Nurse Practitioner, NPI 1649387630

UGHANMWAN EFEOVBOKHAN (NP) is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 683669 (TX). The NPI Number for UGHANMWAN EFEOVBOKHAN (NP) is 1649387630

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
UGHANMWAN EFEOVBOKHAN (NP)
NPI
1649387630
Phone
(210) 647-4671
Address
5309 WURZBACH RD STE 200-9
Enumeration Date
24 August 2006
Last Update Date
30 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106573700
Graduation Year
2004 (22 years ago)
PAC ID
7113992611
Group Practice PAC ID
2961566658
Professional Enrollment ID
I20040828000071
Address ID
TX782392428WI8101XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for UGHANMWAN EFEOVBOKHAN (NP)

  • 5309 WURZBACH RD STE 200-9

    SAN ANTONIO, TX 782382444

    Phone: (210) 647-4671

    Fax: (210) 647-7552

    Type: Mailing

  • 725 E Main St

    Eagle Pass, TX 788524522

    Phone: (210) 657-3700

    Fax: (210) 657-3708

    Type: Location

  • 5309 Wurzbach Rd Ste 106

    San Antonio, TX 782382431

    Phone: (210) 647-4671

    Fax: (210) 647-7552

    Type: Location

  • 4025 E Southcross Blvd Ste 30

    San Antonio, TX 782223640

    Phone: (210) 657-3700

    Fax: (210) 657-3708

    Type: Location

  • 8101 ROUGHRIDER DR

    WINDCREST, TX 782392428

    Phone: (210) 657-3700

    Fax: (210) 657-3708

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $1,570.

Total Amount is formed as General ($1,570) + Research ($0) + Ownership ($0) = $1,570.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($670).

Total Amount

$1,570

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,570

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

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: 2004-08-28

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
I20040828000071INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes31761$0
99442Telephone medical discussion with physician, 11-20 minutes18045$0
86328Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative11448$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen11348$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus11148$0
View full utilization report →

Insurance plans in this area (ZIP 78238)

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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: 2961566658View full group profile
NameSpecialtyState
Internal Medicine, Hospice/Palliative CareCA

Reviews

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Frequently asked questions

Can I use this page to confirm UGHANMWAN EFEOVBOKHAN (NP)'s NPI?
Yes. UGHANMWAN EFEOVBOKHAN (NP) is listed with NPI 1649387630 in the public NPI dataset.
Is UGHANMWAN EFEOVBOKHAN (NP) listed as active for patients and plans?
The listing shows UGHANMWAN EFEOVBOKHAN (NP) as active in the NPI system.
What healthcare role does UGHANMWAN EFEOVBOKHAN (NP) hold?
Scheduling teams often label UGHANMWAN EFEOVBOKHAN (NP) under Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does UGHANMWAN EFEOVBOKHAN (NP) serve?
UGHANMWAN EFEOVBOKHAN (NP)'s listing highlights San Antonio, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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