Individual provider Active NPI

Tochukwu Jude Onyekwelu, MD

  • Surgery Physician
  • Charleston, SC
National Provider Identifier
1376960849
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
90774 Issued in SC
Practice address
9313 Medical Plaza Dr Ste 204
Charleston, SC 29406-9176
Phone
(843) 797-5151
Fax
(843) 572-6939
NPI assigned
Mar 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP10064880 TX
Surgery Physician 208600000X 90774 SC Primary

Addresses

Primary practice location

9313 Medical Plaza Dr Ste 204
Charleston, SC 29406-9176

Mailing address

9313 Medical Plaza Dr Ste 204
Charleston, SC 29406-9176
Phone (843) 797-5151

Other identifiers 1

IdentifierTypeStateIssuer
BP10064880OtherTXTEXAS MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231106003791 SC Practitioner - General Surgery 0840647210
I20260519000527 IN Practitioner - General Surgery 0840647210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical University of South Carolina College of Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10064880TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Surgical Specialists LLC Surgery CurrentSince Sep 23, 2023 Accepting new patients

Locations

3314 Maybank Hwy
Johns Island, SC 29455
Phone (843) 797-5151

9313 Medical Plaza Dr
Ste 204
North Charleston, SC 29406
Phone (843) 797-3555

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: tochukwu.onyekwelu@hca5.eclinicaldirectplus.com
  • Direct secure messaging: tonyekwelu81179@direct.phhs.org

Organizations & group practices 2

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 1

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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1376960849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 204",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069176",
            "telephone_number": "843-797-5151",
            "fax_number": "843-572-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 204",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069176",
            "telephone_number": "843-797-5151",
            "fax_number": "843-572-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEKWELU",
        "first_name": "TOCHUKWU",
        "middle_name": "JUDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10064880",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "90774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "BP10064880",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.