Individual provider Active NPI

Chukwusomnazu Emmanuel Nwanze, M.D.

  • Vascular & Interventional Radiology Physician
  • Lebanon, NH
National Provider Identifier
1043506066
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
3327 Issued in NH
Practice address
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone
(706) 571-1430
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3327 NH
Diagnostic Radiology Physician 2085R0202X 3327 NH
Vascular & Interventional Radiology Physician 2085R0204X 3327 NH Primary

Addresses

Primary practice location

1 Medical Center Dr
Lebanon, NH 03756-1000

Mailing address

1 Medical Center Dr
Lebanon, NH 03756-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191204002672 TX Practitioner - Diagnostic Radiology 8325274749 Reassigns benefits to 4 organizations
I20231207003349 NM Practitioner - Diagnostic Radiology 8325274749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Rio Grande Urology PAGroup PAC ID 3476627878, 28 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians

Practice addresses (Care Compare)

10301 Gateway Blvd W
Del Sol Medical Center
El Paso, TX 79925-7701
Phone (915) 595-9000

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

2211 E Missouri Ave
Suite 308
El Paso, TX 79903-3807
Phone (915) 532-8823

7296 Bobcat Hollow Dr
El Paso, TX 79911-2271
Phone (855) 504-4544

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3327NHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Urology PA CurrentSince Sep 1, 2025 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Sep 27, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Sierra Vista Hospital CurrentSince Nov 28, 2023 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Synergy Radiology Associates PLLC Past Accepting new patients
Sierra Vista Hospital Past Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology PastSince Jan 21, 2022 Accepting new patients

Locations

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

2201 N Stanton St
El Paso, TX 79902
Phone (915) 533-0800

2211 E Missouri Ave
El Paso, TX 79903
Phone (915) 465-5507

2211 E Missouri Ave
Ste 308
El Paso, TX 79903
Phone (915) 532-8823

7420 Remcon Cir
El Paso, TX 79912
Phone (915) 532-8823

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1043506066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "706-571-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANZE",
        "first_name": "CHUKWUSOMNAZU",
        "middle_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "3327",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "3327",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NH",
            "license": "3327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.