EJODAMEN BLESSING SHOBOWALE DPM NPI 1083029060

NPI Information

  • NPI: 1083029060
  • Provider Name: EJODAMEN BLESSING SHOBOWALE, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15003 FM 529 RD STE B
    HOUSTON, TX
    ZIP 77095
  • Phone: (832) 415-1790

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NPI Details

Ejodamen Blessing Shobowale, DPM is a foot and ankle surgery podiatrist in Houston, TX with 11 years of experience. Ejodamen Blessing Shobowale, DPM NPI is 1083029060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15003 FM 529 RD STE B
HOUSTON, TX
ZIP 77095-379
Phone: (832) 415-1790
Fax: (281) 619-7998

The NPI 1083029060 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Biopsy of fingernail or toenail (HCPCS:11755)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/27/2014 and was last updated on 9/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery2288TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003VAAOTHERTEXASBCBS TX
2375642103MEDICAIDTEXAS
3375642105MEDICAIDTEXAS
4375642102MEDICAIDTEXAS
5375642107MEDICAIDTEXAS
6375642106MEDICAIDTEXAS
7375642101MEDICAIDTEXAS
8375642104MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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