Individual provider Active NPI

Chienyenwa E. Nwachinemere, M.D.

  • Internal Medicine Physician
  • Rosedale, MD
National Provider Identifier
1316905227
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0063176 Issued in MD
Practice address
1232 Race Rd Ste 401
Rosedale, MD 21237-2386
Phone
(410) 686-3931
Fax
(410) 881-4572
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0063176 MD Primary

Addresses

Primary practice location

1232 Race Rd Ste 401
Rosedale, MD 21237-2386

Mailing address

PO Box 368
White Marsh, MD 21162-0368
Phone (410) 686-3931

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ROSEDALE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050912001196 MD Practitioner - Internal Medicine 5395778203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

1232 Race Rd
Suite 401
Rosedale, MD 21237-2386
Phone (410) 686-3931

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chimax Medical Center, LLC CurrentSince May 15, 2007 Accepting new patients
Union Memorial Hospital Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

201 Ballard Ave
Middle River, MD 21220
Phone (410) 294-2302

8868 Belair Rd
Nottingham, MD 21236
Phone (410) 213-5253

1232 Race Rd
Ste 401
Rosedale, MD 21237
Phone (410) 574-9090

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 1

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1316905227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211620368",
            "telephone_number": "410-686-3931",
            "fax_number": "410-686-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 RACE RD STE 401",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372386",
            "telephone_number": "410-686-3931",
            "fax_number": "410-881-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWACHINEMERE",
        "first_name": "CHIENYENWA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0063176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ROSEDALE",
            "affiliation": "N",
            "address_1": "1232 Race Rd Ste 401",
            "city": "Rosedale",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212372386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.