ONYEMEZE AZUOGU (MD) – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1710964242
Pediatric Emergency Medicine (Pediatrics) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ONYEMEZE AZUOGU (MD)
4015 22nd Pl
Lubbock, TX 794101119
Phone: (806) 725-0030
Fax: (806) 725-0015
Type: Location
Phoenix Post Office, Jarrettsville Pike, Hampshire, Jacksonville, Baltimore County, Maryland, 21131, United States
PHOENIX, AZ 850117127
Phone: (480) 456-9500
Fax: (480) 820-7623
Type: Mailing
1400, South Dobson Road, Mesa, Maricopa County, Arizona, 85202, United States
MESA, AZ 85202
Phone: (480) 456-9500
Fax: (480) 820-7623
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: 2024-11-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20120320000955 | I | Pediatric Medicine | AZ | TBD |
| I20170718001730 | I | Pediatric Medicine | TX | TBD |
| I20241126003437 | I | Pediatric Medicine | MO | 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 79410)
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