Active NPI
Ifeanyi Victor Nwadukwe, M.D
- Cytopathology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- 37640
- Practice address
- 5481 W Waters Ave Ste 111
Tampa, FL 33634-1256 - Phone
- (813) 577-4686
- NPI assigned
- Apr 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 37640 | OK | |
| Cytopathology Physician | 207ZC0500X | 37640 | OK | Primary |
Addresses
Primary practice location
5481 W Waters Ave Ste 111
Tampa, FL 33634-1256
Mailing address
5481 W Waters Ave Ste 111
Tampa, FL 33634-1256
Phone (813) 577-4686
Other practice location 1
1715 Twin Springs Rd Ste 105
Baltimore, MD 21227-3565
Phone (410) 946-1116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, MD, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5481 W Waters Ave
Suite 111
Tampa, FL 33634-1205
Phone (360) 513-9665
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 84.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37640 | OK | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Woman Care, LLC | Multi-Specialty | Current | Accepting new patients |
| Capital Women's Care, L.L.C. | Multi-Specialty | Current | Accepting new patients |
| Capital Women's Care, L.L.C. | Multi-Specialty | Current | Accepting new patients |
Locations
2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233
3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814
5481 W Waters Ave
Ste 111
Tampa, FL 33634
Phone (813) 577-4686
980 Johnson Fy Rd NE
Ste 720
Sandy Springs, GA 30342
Phone (404) 252-3898
1715 Twin Springs Rd
Ste 105
Baltimore, MD 21227
Phone (410) 946-1116
61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171
8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759
9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501
46179 Westlake Dr
Ste 240
Potomac Falls, VA 20165
Phone (703) 368-1969
Interoperability endpoints
- ifeanyi.nwadukwe.1@2183.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1386823243
GA, Multi-Specialty
-
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- Fulton, MD
- NPI 1679534069
DC, Multi-Specialty, VA
-
dba Frederick OB/GYN Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Frederick, MD
- NPI 1093766289
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1003260019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5481 W WATERS AVE STE 111",
"city": "TAMPA",
"state": "FL",
"postal_code": "336341256",
"telephone_number": "813-577-4686",
"fax_number": "813-577-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5481 W WATERS AVE STE 111",
"city": "TAMPA",
"state": "FL",
"postal_code": "336341256",
"telephone_number": "813-577-4686"
}
],
"practiceLocations": [
{
"address_1": "1715 Twin Springs Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212273565",
"country_code": "US",
"telephone_number": "410-946-1116",
"fax_number": "410-946-6336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NWADUKWE",
"first_name": "IFEANYI",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-15",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OK",
"license": "37640",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "OK",
"license": "37640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.