MRS. ADAEZE MOGBO (PA-C) – Surgical Physician Assistant, NPI 1982088894

MRS. ADAEZE MOGBO (PA-C) is a healthcare provider. based in Houston, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MRS. ADAEZE MOGBO (PA-C) is 1982088894

Main info

Female
12 Years Of Experience
Name
MRS. ADAEZE MOGBO (PA-C)
NPI
1982088894
Phone
(832) 828-3660
Address
2 GREENWAY PLZ
Enumeration Date
10 July 2015
Last Update Date
10 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887061444
Graduation Year
2014 (12 years ago)
PAC ID
1355619164
Group Practice PAC ID
4688176456
Professional Enrollment ID
I20170620003121
Address ID
TX78257XXXXSAXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:10State licenses:0Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for MRS. ADAEZE MOGBO (PA-C)

  • 2 GREENWAY PLZ

    SUITE 300

    HOUSTON, TX 770460297

    Phone: (832) 828-3660

    Type: Mailing

  • 6701 FANNIN ST

    HOUSTON, TX 770302608

    Phone: (832) 824-1000

    Type: Location

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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-07-05 • Largest payer in this snapshot: KCI USA, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
KCI USA, Inc.$14
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: 2017-06-20

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
I20170620003121IPhysician 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 77046)

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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: 4688176456View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerIN
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do payers reference MRS. ADAEZE MOGBO (PA-C)?
For MRS. ADAEZE MOGBO (PA-C), use NPI 1982088894 as the unique 10-digit identifier.
Is there an active status for MRS. ADAEZE MOGBO (PA-C)?
For scheduling context, MRS. ADAEZE MOGBO (PA-C) is shown as active in the registry.
What kind of doctor is MRS. ADAEZE MOGBO (PA-C)?
MRS. ADAEZE MOGBO (PA-C) is associated with Surgical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. ADAEZE MOGBO (PA-C) associated with Houston?
Public fields place MRS. ADAEZE MOGBO (PA-C) around Houston, Texas. Always confirm the exact site before visiting.
Does MRS. ADAEZE MOGBO (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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