Individual provider Active NPI

Ikenna Ugochukwu Onwumere, MD

  • Internal Medicine Physician
  • Aiken, SC
National Provider Identifier
1356518856
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
278595 Issued in NY
Practice address
302 University Pkwy
Aiken, SC 29801-6302
Phone
(270) 473-0819
NPI assigned
May 14, 2008
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 278595 NY Primary
Internal Medicine Physician 207R00000X 43138 KY

Addresses

Primary practice location

302 University Pkwy
Aiken, SC 29801-6302

Mailing address

PO Box 741221
Ipm Credentialing
Atlanta, GA 30374-1221
Phone (903) 416-1710

Other identifiers 2

IdentifierTypeStateIssuer
351327MedicaidSC
7100103060MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NY, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20131218001281 SC Practitioner - Internal Medicine 1951445261 Reassigns benefits to 1 organization
I20160513000384 NY Practitioner - Internal Medicine 1951445261 Reassigns benefits to 6 organizations
I20220821000003 TN Practitioner - Internal Medicine 1951445261 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43138KYMDInternal Medicine Physician
278595NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newburgh Physician Services PC CurrentSince Feb 17, 2016 Accepting new patients
Musc Community Physicians CurrentSince May 1, 2025 Accepting new patients
Rochester General Hospital CurrentSince Jul 1, 2016 Accepting new patients
Rochester General Hospital Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Bronx Medical Practice P.C. Internal Medicine CurrentSince Aug 25, 2019 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Jul 1, 2016 Accepting new patients
App of Tennessee HM, PLLC CurrentSince Jul 15, 2022 Accepting new patients
Essen Medical Associates,PC CurrentSince Aug 25, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 25, 2019 Accepting new patients
Musc Community Physicians Internal Medicine Current Accepting new patients
House Call Medical Services of New York, PLLC Internal Medicine CurrentSince Aug 25, 2019 Accepting new patients
Musc Community Physicians Internal Medicine CurrentSince May 1, 2025 Accepting new patients

Locations

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2015 Grand Concourse
#13202
Bronx, NY 10453

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1356518856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741221",
            "address_2": "IPM CREDENTIALING",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741221",
            "telephone_number": "903-416-1710",
            "fax_number": "903-416-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 UNIVERSITY PKWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016302",
            "telephone_number": "270-473-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUMERE",
        "first_name": "IKENNA",
        "middle_name": "UGOCHUKWU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "278595",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "43138",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351327",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100103060",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.