Active NPI
Nnamdi Ifekandu Gwacham, DO
- Gynecologic Oncology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 6594
- Practice address
- 80 Humphreys Center Dr Ste 202
Memphis, TN 38120-2361 - Phone
- (901) 226-4280
- Fax
- (901) 226-4282
- NPI assigned
- Apr 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gynecologic Oncology Physician | 207VX0201X | 6594 | TN | Primary |
| Gynecologic Oncology Physician | 207VX0201X | 010200 | AZ |
Addresses
Primary practice location
80 Humphreys Center Dr Ste 202
Memphis, TN 38120-2361
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003
Other practice location 1
6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone (901) 227-2727
Other practice location 2
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-4910
Other practice location 3
2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-1350
Other practice location 4
8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606
Other practice location 5
11209 N Tatum Blvd Ste B200
Phoenix, AZ 85028-3091
Phone (480) 530-4200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@cityofhope.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000
80 Humphreys Ctr Dr
Suite 202
Memphis, TN 38120-2361
Phone (901) 227-9820
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.52 of 100
- Quality
- 66.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 58.3
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010200 | AZ | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| City of Hope Medical Group of Arizona LLC | Medical Oncology | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| American Oncology Partners, P.a. | Medical Oncology | Past | Accepting new patients |
Locations
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
11209 N Tatum Blvd
Ste B200
Phoenix, AZ 85028
Phone (480) 530-4200
2925 W Rose Garden Ln
Ste 110
Phoenix, AZ 85027
Phone (623) 265-7215
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
363 Southcrest Cir
Ste 202
Southaven, MS 38671
Phone (662) 536-1944
8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606
2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350
6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
350 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 226-4003
80 Humphreys Center Dr
Ste 202
Memphis, TN 38120
Phone (901) 226-4280
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
Obstetrics & Gynecology
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Hematology & Oncology Physician
- Surprise, AZ
- NPI 1003642505
Medical Oncology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1346604253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202177",
"telephone_number": "901-226-4003",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HUMPHREYS CENTER DR STE 202",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202361",
"telephone_number": "901-226-4280",
"fax_number": "901-226-4282"
}
],
"practiceLocations": [
{
"address_1": "6225 Humphreys Blvd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381202373",
"country_code": "US",
"telephone_number": "901-227-2727",
"fax_number": "901-227-2477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6019 Walnut Grove Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381202113",
"country_code": "US",
"telephone_number": "901-226-4910",
"fax_number": "901-226-4774",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 Exeter Rd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381383966",
"country_code": "US",
"telephone_number": "901-757-1350",
"fax_number": "901-757-3496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8138 Country Village Dr",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380162029",
"country_code": "US",
"telephone_number": "901-725-8606",
"fax_number": "901-759-9254",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11209 N Tatum Blvd Ste B200",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850283091",
"country_code": "US",
"telephone_number": "480-530-4200",
"fax_number": "833-465-1459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GWACHAM",
"first_name": "NNAMDI",
"middle_name": "IFEKANDU",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-06",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "TN",
"license": "6594",
"primary": true
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "AZ",
"license": "010200",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@cityofhope.direct-ci.com",
"affiliation": "N",
"address_1": "11209 N Tatum Blvd Ste B200",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850283091",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.