Joseph A Nkwanyuo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D30309 Issued in MD

Practice address

8930 Liberty Rd
Randallstown, MD 21133-4234

Phone

(410) 265-7742

Fax

(410) 298-3964

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Johns Hopkins University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

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.

• Joseph a. Nkwanyuo, M.D., P.C.

  • Internal Medicine Physician
  • Randallstown, MD
  • NPI 1114234267
  Medicare reassignment Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1194805036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331316",
            "telephone_number": "410-265-7742",
            "fax_number": "410-298-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334234",
            "telephone_number": "410-265-7742",
            "fax_number": "410-298-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKWANYUO",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D30309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351941400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Binh Van Nguyen, PA-C
• Juliette Ngwe, APRN
• Elizabeth Nkafu, RN, BSN
• Michael Nkafu
• Bernard Fombin Nkengbeza
• Chezo Nojang, APRN
• Pamella Joan Chairs Norbeck, LCSW C
• Northwest Hospital
• Northwest Hospital Center Inc
• Northwest Hospital Center Inc

• Internal Medicine Physician in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.