Individual provider Active NPI

Ifeanyi Victor Nwadukwe, M.D

  • Cytopathology Physician
  • Tampa, FL
National Provider Identifier
1003260019
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
37640 Issued in OK
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

Updated by the provider on Nov 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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, VA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20230327000821 FL Practitioner - Pathology 0749683183 Reassigns benefits to 1 organization
I20230525002222 GA Practitioner - Pathology 0749683183 Reassigns benefits to 1 organization
I20231011003787 MD Practitioner - Pathology 0749683183 Reassigns benefits to 1 organization
I20231011003853 DC Practitioner - Pathology 0749683183 Reassigns benefits to 1 organization
I20231020002070 VA Practitioner - Pathology 0749683183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
37640OKMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Multi-Specialty CurrentSince Mar 20, 2023 Accepting new patients
Capital Women's Care, L.L.C. Multi-Specialty CurrentSince Aug 16, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.