Gabriel O Nwufoh, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101057783 Issued in VA

Practice address

1690 Old Bridge Rd Ste 200
Woodbridge, VA 22192-8006

Phone

(703) 497-1964

Fax

(703) 497-9885

NPI assigned

Jul 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Internal Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113

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.

• Medical Clinic of Woodbridge Inc

  • Internal Medicine Physician
  • Woodbridge, VA
  • NPI 1336334275
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Potomac Hospital Corporation of Prince William

  • General Acute Care Hospital
  • Woodbridge, VA
  • NPI 1548366404
  Care Compare affiliation

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1396759692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 OLD BRIDGE RD STE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928006",
            "telephone_number": "703-497-1964",
            "fax_number": "703-497-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 OLD BRIDGE RD STE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928006",
            "telephone_number": "703-497-1964",
            "fax_number": "703-497-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWUFOH",
        "first_name": "GABRIEL",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101057783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "281036",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005821037",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Afarh Nur
• Nutrition & Fitness on the Move LLC
• Wilhelmina E Nutsugah
• Nvisions in-Home Support Service, LLC
• Charity Nwanevu
• Emmanuel Fosu Nyamesem, RHIT
• Lynda Marie Nyamou, PHARMD
• Nyava Healthcare & in Home Services
• Rumbidzayi Nzara Mukurazhizha, M.D.
• Gavin Meeks O'Brien

• Internal Medicine Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.