Individual provider Active NPI

Ikenna Nwamba, M.D.

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1356872832
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME155161 Issued in FL
Practice address
1500 Centrepark Blvd Apt 729
West Palm Beach, FL 33401-7471
Phone
(734) 686-1517
NPI assigned
Mar 25, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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 ME155161 FL Primary

Addresses

Primary practice location

1500 Centrepark Blvd Apt 729
West Palm Beach, FL 33401-7471

Mailing address

1500 Centrepark Blvd Apt 729
West Palm Beach, FL 33401-7471
Phone (734) 686-1517

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240731000104 FL Practitioner - Internal Medicine 2466999180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Physician Services LLCGroup PAC ID 5698080059, 2 clinicians

Practice addresses (Care Compare)

3601 NW Federal Hwy
Jensen Beach, FL 34957-3676
Phone (772) 208-3057

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME155161FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triton Core Holdings LLC Internal Medicine CurrentSince May 18, 2024 Accepting new patients
Family First Physician Services LLC CurrentSince Mar 27, 2025 Accepting new patients
Borges Rehabilitation Center LLC Internal Medicine CurrentSince Aug 4, 2024 Accepting new patients
University of Miami Internal Medicine Past Accepting new patients

Locations

3601 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 208-3057

4651 NW 7th St
Miami, FL 33126
Phone (305) 846-9283

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 3

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": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1356872832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CENTREPARK BLVD APT 729",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017471",
            "telephone_number": "734-686-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CENTREPARK BLVD APT 729",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017471",
            "telephone_number": "734-686-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAMBA",
        "first_name": "IKENNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-25",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME155161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.