Rudo Gwanzura, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2009-01777 Issued in NC

Practice address

210 B Smith Church Rd
Roaonke Rapids, NC 27870-4942

Phone

(252) 535-8870

Fax

(252) 535-8868

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rudo Gwanzura Professional name

Medicare fee-for-service enrollment

Enrolled in NC, VA2 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

Specialty

HospitalistAlso: Family Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vidant Medical Group LLC 986 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ecu Health North Hospital Hospital, Roanoke Rapids, NC, CCN 340151
• Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgwanzura22913@direct.ecuhealth.com

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.

• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731

  NC

  Medicare reassignment Care Compare group NPD
• Cumberland County Hospital System Inc

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242

  NC

  Medicare reassignment NPD
• East Carolina Health-Bertie

  • Rural Health Clinic/Center
  • Windsor, NC
  • NPI 1578541660

  Family Medicine, NC

  Medicare reassignment NPD
• Hni Medical Services of North Carolina, PC

  • Hospitalist Physician
  • Durham, NC
  • NPI 1992464002

  NC

  Medicare reassignment NPD
• Emergency Medicine Associates, P.a.,P.C.

  • Internal Medicine Physician
  • Dulles, VA
  • NPI 1376917070

  VA

  Medicare reassignment NPD
• Vidant Medical Group LLC

  • Ambulatory Surgical Clinic/Center
  • Kinston, NC
  • NPI 1376049619
  Care Compare group
• Vidant Medical Group, LLC

  • Cardiac Rehabilitation Clinic/Center
  • Roanoke Rapids, NC
  • NPI 1750125035
  Care Compare group
• Cumberland County Hospital System Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Fayetteville, NC
  • NPI 1194150110
  NPD
• Cumberland County Hospital System Inc

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743
  NPD
• East Carolina Health-Bertie

  • Critical Access Hospital
  • Windsor, NC
  • NPI 1013999705
  NPD
• East Carolina Health-Bertie

  • Emergency Medicine Physician
  • Windsor, NC
  • NPI 1619955705
  NPD
• Roanoke Valley Health Services Inc

  • Rural Health Clinic/Center
  • Roanoke Rapids, NC
  • NPI 1720198369

  Family Medicine

  NPD

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

• Halifax Regional Medical Center Inc

  • General Acute Care Hospital
  • Roanoke Rapids, NC
  • NPI 1346273943

  Hospital

  Care Compare affiliation
• Pitt County Memorial Hospital Inc

  • General Acute Care Hospital
  • Washington, NC
  • NPI 1780359687

  Hospital

  Care Compare affiliation
• Pitt County Memorial Hospital, Inc

  • General Acute Care Hospital
  • Greenville, NC
  • NPI 1043218944

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1316154685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 B SMITH CHURCH RD",
            "city": "ROAONKE RAPIDS",
            "state": "NC",
            "postal_code": "278704942",
            "telephone_number": "252-535-8870",
            "fax_number": "252-535-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 B SMITH CHURCH RD",
            "city": "ROAONKE RAPIDS",
            "state": "NC",
            "postal_code": "278704942",
            "telephone_number": "252-535-8870",
            "fax_number": "252-535-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWANZURA",
        "first_name": "RUDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2009-01777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUDO",
            "last_name": "GWANZURA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.