Individual provider Active NPI

Ndubuisi D Ahuruonye, MD

  • Neurology Physician
  • Marietta, GA
National Provider Identifier
1467959494
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD217388 Issued in OR
Practice address
677 Church St NE
Marietta, GA 30060-1101
Phone
(770) 422-2326
Fax
(770) 422-7797
NPI assigned
Apr 6, 2018
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD217388 OR Primary
Neurology Physician 2084N0400X 336619-01 NY
Neurology Physician 2084N0400X 92017 GA

Addresses

Primary practice location

677 Church St NE
Marietta, GA 30060-1101

Mailing address

677 Church St NE
Marietta, GA 30060-1101
Phone (770) 422-2326

Other practice location 1

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 712-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nahuruonye495168@directwellstar.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WV, OR, WA, NY, PA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20220714003202 GA Practitioner - Neurology 7911258264 Reassigns benefits to 2 organizations
I20230901000089 WV Practitioner - Neurology 7911258264 Reassigns benefits to 2 organizations
I20231010000849 OR Practitioner - Neurology 7911258264 Reassigns benefits to 3 organizations
I20231011001855 WA Practitioner - Neurology 7911258264 Reassigns benefits to 2 organizations
I20250828001059 NY Practitioner - Neurology 7911258264 Reassigns benefits to 1 organization
I20260122002771 PA Practitioner - Neurology 7911258264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Indiana University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296

1021 Park Ave
Quakertown, PA 18951-0130

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2912

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010255GAMDOphthalmology Physician
336619-01NYMDNeurology Physician
MD217388ORMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Oct 11, 2023 Accepting new patients
United Physicians Care Inc Neurology CurrentSince Sep 1, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 1, 2022 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 26, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Silverton Health Current Accepting new patients
Cayuga Medical Associates, PC CurrentSince Sep 15, 2025 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 19, 2026 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 26, 2023 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 19, 2026 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 26, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 6, 2024 Accepting new patients
Silverton Health CurrentSince Oct 11, 2023 Accepting new patients
United Physicians Care Inc CurrentSince Sep 1, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 26, 2023 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2800 N Vancouver Ave
Ste 130
Portland, OR 97227
Phone (503) 276-6110

780 Commercial St SE
Ste 100
Salem, OR 97301
Phone (469) 466-7037

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

19260 SW 65th Ave
Ste 280
Tualatin, OR 97062
Phone (503) 413-6166

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 10

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1467959494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601101",
            "telephone_number": "770-422-2326",
            "fax_number": "770-422-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601101",
            "telephone_number": "770-422-2326",
            "fax_number": "770-422-7797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1364 Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221059",
            "country_code": "US",
            "telephone_number": "404-712-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHURUONYE",
        "first_name": "NDUBUISI",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD217388",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "336619-01",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "92017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nahuruonye495168@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "677 Church St NE",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.