NPIMap

Individual provider Active NPI

Grace N Nweke, MD

  • Internal Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1346209384
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34753 Issued in CO
Practice address
4020 Palmer Park Blvd
Suite 101-B
Colorado Springs, CO 80909-3433
Phone
(719) 577-9977
Fax
(719) 577-9911
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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 34753 CO Primary

Addresses

Primary practice location

4020 Palmer Park Blvd
Suite 101-B
Colorado Springs, CO 80909-3433

Mailing address

4020 Palmer Park Blvd
Suite 101-B
Colorado Springs, CO 80909-3433
Phone (719) 577-9977

Other identifiers 3

IdentifierTypeStateIssuer
804092OtherCOMEDICARE PTAN
01347533MedicaidCO
74575724MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051205000897 CO Practitioner - Internal Medicine 1456371491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4020 Palmer Park Blvd
Colorado Springs, CO 80909-3402
Phone (719) 577-9977

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Health Care, PC Internal Medicine CurrentSince Feb 1, 2009 Accepting new patients
Sunrise Healthcare P.C Current Accepting new patients
Four Points Family Medical Center Inc PastSince Mar 25, 2009 Accepting new patients
Southwest Quick Care, LLC Past Accepting new patients

Locations

4020 Palmer Park Blvd
Ste 101B
Colorado Springs, CO 80909
Phone (719) 577-9977

4020 Palmer Park Blvd
#101B
Colorado Springs, CO 80909
Phone (719) 577-9977

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1346209384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 PALMER PARK BLVD",
            "address_2": "SUITE 101-B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093433",
            "telephone_number": "719-577-9977",
            "fax_number": "719-577-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 PALMER PARK BLVD",
            "address_2": "SUITE 101-B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093433",
            "telephone_number": "719-577-9977",
            "fax_number": "719-577-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWEKE",
        "first_name": "GRACE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "34753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "804092",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01347533",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74575724",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.