Individual provider Active NPI

Odinaka Abigail Nwankwo, MD

  • Emergency Medicine Physician
  • Iowa, IA
National Provider Identifier
1437542677
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
99156 Issued in MT
Practice address
601 Highway 6 West
Iowa, IA 52446
Phone
(319) 338-0581
Fax
(319) 339-0581
NPI assigned
Mar 12, 2015
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 99156 MT Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 019919 PR

Addresses

Primary practice location

601 Highway 6 West
Iowa, IA 52446

Mailing address

4566 Luke Dr
Iowa City, IA 52246-8635
Phone (319) 379-5342

Other practice location 1

300 Calle Font Martelo
Humacao, PR 00791-3230
Phone (787) 852-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99156MTMDEmergency Medicine Physician
019919PRMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U S Health Dept of Health & Human Services CurrentSince Aug 20, 2018 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Aug 20, 2018 Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

453 Pine Grove Rd
Hays, MT 59527
Phone (406) 353-3190

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

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1437542677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 LUKE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522468635",
            "telephone_number": "319-379-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 6 WEST",
            "city": "IOWA",
            "state": "IA",
            "postal_code": "52446",
            "telephone_number": "319-338-0581",
            "fax_number": "319-339-0581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Calle Font Martelo",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "007913230",
            "country_code": "US",
            "telephone_number": "787-852-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWANKWO",
        "first_name": "ODINAKA",
        "middle_name": "ABIGAIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "99156",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PR",
            "license": "019919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa, IA

Sources for this page

Verify at the official NPI Registry.