Individual provider Active NPI

Ikechukwu Valentine Mbonu, MD

  • Rheumatology Physician
  • Norfolk, VA
National Provider Identifier
1205367125
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101276199 Issued in VA
Practice address
844 Kempsville Rd Ste 103B
Norfolk, VA 23502-3927
Phone
(757) 261-0200
Fax
(757) 261-0201
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 73155 WI
Internal Medicine Physician 207R00000X 73155 WI
Internal Medicine Physician 207R00000X 0101276199 VA
Rheumatology Physician 207RR0500X 0101276199 VA Primary

Addresses

Primary practice location

844 Kempsville Rd Ste 103B
Norfolk, VA 23502-3927

Mailing address

844 Kempsville Rd Ste 102B
Norfolk, VA 23502-3927
Phone (757) 261-0200

Other practice location 1

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 636-5437

Other practice location 2

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 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
I20220929002911 VA Practitioner - Rheumatology 6002221926 Reassigns benefits to 1 organization
I20250905000406 MD Practitioner - RheumatologyPractitioner - Internal Medicine 6002221926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Physicians PAGroup PAC ID 2769394808, 395 clinicians

Practice addresses (Care Compare)

5890 Waterloo Rd
Umd Phys. Waterloo X Ing Rheum.
Columbia, MD 21045-2617
Phone (410) 706-6474

Hospital & facility affiliations

  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101276199VAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Physicians PA Rheumatology CurrentSince Oct 6, 2025 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Aug 15, 2022 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
University of Maryland Physicians P.a. CurrentSince Oct 6, 2025 Accepting new patients

Locations

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

118 Westminster Pike
Ste 106
Reisterstown, MD 21136
Phone (410) 876-0086

844 Kempsville Rd
Ste 103B
Norfolk, VA 23502
Phone (757) 261-0200

844 Kempsville Rd
Ste 102B
Norfolk, VA 23502

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: imbonu779591@direct.sentara.net

Organizations & group practices 4

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 2

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1205367125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 KEMPSVILLE RD STE 102B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023927",
            "telephone_number": "757-261-0200",
            "fax_number": "757-261-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 KEMPSVILLE RD STE 103B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023927",
            "telephone_number": "757-261-0200",
            "fax_number": "757-261-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-636-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "973-926-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBONU",
        "first_name": "IKECHUKWU",
        "middle_name": "VALENTINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "73155",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "73155",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101276199",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101276199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.