Individual provider Active NPI

Victor Nwokocha, D.O

  • Diagnostic Radiology Physician
  • Bedford, NH
National Provider Identifier
1376905687
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23313 Issued in NH
Practice address
703 Riverway PL
Bedford, NH 03110-6745
Phone
(603) 627-1661
Fax
(603) 669-6944
NPI assigned
Mar 25, 2016
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Neuroradiology Physician 2085N0700X 0102207042 VA
Diagnostic Radiology Physician 2085R0202X 0102207042 VA
Diagnostic Radiology Physician 2085R0202X 23313 NH Primary

Addresses

Primary practice location

703 Riverway PL
Bedford, NH 03110-6745

Mailing address

703 Riverway PL
Bedford, NH 03110-6745
Phone (603) 627-1661

Other practice location 1

2602 Buford Rd
North Chesterfield, VA 23235-3422
Phone (804) 272-8806 ext. 321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA, DC3 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
I20221228000807 NH Practitioner - Diagnostic Radiology 6103119789 Reassigns benefits to 1 organization
I20240710000216 MA Practitioner - Diagnostic Radiology 6103119789 Reassigns benefits to 1 organization
I20260614000011 DC Practitioner - Diagnostic Radiology 6103119789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern New Hampshire Radiology Consultants PCGroup PAC ID 2769436088, 39 clinicians

Practice addresses (Care Compare)

13 Coffin St
Newburyport, MA 01950-1927
Phone (603) 627-1661

703 Riverway PL
Bedford, NH 03110-6768
Phone (603) 627-1661

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102207042VAMDNeuroradiology Physician
23313NHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Imaging LLC CurrentSince Apr 1, 2011 Accepting new patients
Southern New Hampshire Radiology Consultants PC Diagnostic Radiology CurrentSince Sep 9, 2022 Accepting new patients
Short Pump Imaging LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

11 Washington Pl
Bedford, NH 03110
Phone (603) 622-3670

4 Hawthorne Dr
Bedford, NH 03110
Phone (603) 472-8888

703 Riverway Pl
Bedford, NH 03110
Phone (603) 668-7096

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

101 Boulder Point Dr
Ste 1
Plymouth, NH 03264
Phone (603) 238-3537

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1376905687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106745",
            "telephone_number": "603-627-1661",
            "fax_number": "603-669-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106745",
            "telephone_number": "603-627-1661",
            "fax_number": "603-669-6944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Buford Rd",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232353422",
            "country_code": "US",
            "telephone_number": "804-272-8806 x321",
            "fax_number": "804-272-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOKOCHA",
        "first_name": "VICTOR",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0102207042",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102207042",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "23313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.