Chikwendu C Nwosu, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2006022624 Issued in MO

Practice address

2919 S Ellsworth Rd
Suite 139
Mesa, AZ 85212-2164

Phone

(917) 474-0025

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Specialty

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chikwendu C Nwosu MD LLCGroup PAC ID 5698950178, 11 clinicians

Stripes Urgent Care LLCGroup PAC ID 4082913058, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emblem Home Health Home health agency, Tempe, AZ, CCN 037253
• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BEBICA/Endpoint/BEBICA

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.

• Chikwendu C Nwosu MD LLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1508155979
  Medicare reassignment Care Compare group Authorized official
• Stripes Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Gold Canyon, AZ
  • NPI 1639538846
  Medicare reassignment Care Compare group Authorized official
• Banner Sun City Medical Group

  • Multi-Specialty Clinic/Center
  • Sun City, AZ
  • NPI 1902067200
  NPD (past)
• Mydoctor LLC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1255510459
  NPD (past)
• Tbird Hospitalist Group, LLC

  • Internal Medicine Physician
  • Glendale, AZ
  • NPI 1134155724
  NPD (past)

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

• Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation
• Emblem Healthcare, Inc.

  • Home Health Agency
  • Tempe, AZ
  • NPI 1790183895
  Care Compare affiliation

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1104994375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3846 E LAFAYETTE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852989130",
            "telephone_number": "917-474-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "address_2": "SUITE 139",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122164",
            "telephone_number": "917-474-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "CHIKWENDU",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2006022624",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "37888",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "37888",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00376722",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "767486",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207579905",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165740001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "216979",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nursing Resources
• Nuru Home Healthcare LLC
• Anupama Nutakki, M.D.
• Nutrifyi, LLC
• Nutrition Made Simple
• Nwse: Nicole Warner Shaha Enterprises, LLC
• Jace L Nybo, DC
• Jennifer Nye, LMSW
• Diana Marie Nyren, COTA
• Imma Nzomo, PMHNP

• Internal Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.

Verify at the official NPI Registry.