Active NPI
Nnamdi Charles Iwuala, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 0101282002
- Practice address
- 1330 Oak LN
Lynchburg, VA 24503-2513 - Phone
- (434) 200-5757
- Fax
- (434) 200-1128
- NPI assigned
- Feb 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 0101282002 | VA | Primary |
Addresses
Primary practice location
1330 Oak LN
Lynchburg, VA 24503-2513
Mailing address
1330 Oak LN
Lynchburg, VA 24503-2513
Phone (434) 200-5757
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240828002080 | VA | Practitioner - Hospice/Palliative Care | 5991244469 |
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
140 Vista Centre Dr
FL 2
Forest, VA 24551-3965
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centra Medical Group, LLC | Current | Accepting new patients |
Locations
140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297
1330 Oak Ln
Lynchburg, VA 24503
Phone (434) 200-4072
3300 Rivermont Ave
Lynchburg, VA 24503
Phone (434) 200-4668
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
1330 Oak Ln
Ste 202
Lynchburg, VA 24503
Phone (344) 200-5757
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1649228966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719100800000",
"number": "1467086819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 OAK LN",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245032513",
"telephone_number": "434-200-5757",
"fax_number": "434-200-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 OAK LN",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245032513",
"telephone_number": "434-200-5757",
"fax_number": "434-200-1128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWUALA",
"first_name": "NNAMDI",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-25",
"last_updated": "2024-06-23",
"certification_date": "2024-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "VA",
"license": "0101282002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; 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.