Physician Compare National (NPI:1891094561)

HEALTHCARE PROVIDER: OFORBUIKE CHUKWUNENYE EWELUKWA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1891094561
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981832441
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170928000068
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EWELUKWA
	Individual professional last name
Provider First Name	OFORBUIKE
	Individual professional first name
Provider Middle Name	CHUKWUNENYE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	23920 KATY FWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 215
	Group Practice or individual's line 2 address
City	KATY
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	774940881
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	160079
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY MEDICAL CENTER - CEDAR RAPIDS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450847
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEMORIAL HERMANN KATY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	670077
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HOUSTON METHODIST WEST HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	161343
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y