Chuka Godwin Enebeli, M.D

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

ACN929 Issued in FL

Practice address

6905 W Colonial Dr
Orlando, FL 32818-6829

Phone

(407) 237-0648

NPI assigned

Apr 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Main Street Medical LLC

  • Primary Care Clinic/Center
  • Tampa, FL
  • NPI 1487079505

  Family Medicine

  Medicare reassignment NPD
• Avid Health Plans LLC

  • Health Maintenance Organization
  • Tampa, FL
  • NPI 1629397773
  NPD (past)
• Shilo LLC

  • Multi-Specialty Clinic/Center
  • Tampa, FL
  • NPI 1477119519

  Pain

  NPD (past)
• American Advanced Practice Network, P.C.

  • Nurse Practitioner
  • Watertown, SD
  • NPI 1790244341
  NPD (past)

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1356705677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186829",
            "telephone_number": "305-731-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186829",
            "telephone_number": "407-237-0648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10549 N Florida Ave Ste J",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336126707",
            "country_code": "US",
            "telephone_number": "813-341-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 Harden Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338031812",
            "country_code": "US",
            "telephone_number": "863-248-6584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENEBELI",
        "first_name": "CHUKA",
        "middle_name": "GODWIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "019299",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN979",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "019299",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "PMC1840",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ACN929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endo-Surgical Center of Florida
• Endocrinology & Diabetes Specialist, LLC
• Endoscopic Anesthesia Group, P.a.
• Vicki Lynn Endres, CNM
• Fredna Endrot, MD
• Philip Gregory Enegess, MSW
• Energy Follows Thought Enterprises
• Alexandria Eng, RDN, CSP, LDN, CNSC
• Matthew Eng, DO
• Matthew Engebrethson, RBT

• Pain Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.