Individual provider Active NPI

Nneamaka Agochukwu Nwubah, M.D.

  • Plastic Surgery Physician
  • Brentwood, TN
National Provider Identifier
1497013346
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
59912 Issued in TN
Practice address
5409 Maryland Way Ste 115
Brentwood, TN 37027-1076
Phone
(615) 804-6113
NPI assigned
Apr 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 59912 TN Primary

Addresses

Primary practice location

5409 Maryland Way Ste 115
Brentwood, TN 37027-1076

Mailing address

5409 Maryland Way Ste 115
Brentwood, TN 37027-1076

Other practice location 1

Hq101 Univ Of Ky 800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-8082

Other practice location 2

Aesthetic Center for plastic surgery
12727 Kimberley Lane
Houston, TX 77027-0001
Phone (713) 799-9999

Other practice location 3

2020 21st Ave S
Nashville, TN 37212
Phone (615) 932-7700

Other names 1

  • Nneamaka Barbara Agochukwu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20190924001222 TN Practitioner - Plastic and Reconstructive Surgery 3577864198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Vanderbilt University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5409 Maryland Way
Suite 115
Brentwood, TN 37027-1076
Phone (615) 804-6113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59912TNMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nneamaka Nwubah LLC Plastic Surgery CurrentSince Dec 15, 2022 Accepting new patients
Anesthesia Medical Group, PC PastSince Jul 21, 2019 Accepting new patients

Locations

5409 Maryland Way
Ste 115
Brentwood, TN 37027
Phone (615) 377-7702

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.

NPI Registry JSON

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

{
    "created_epoch": "1335657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677888000000",
    "number": "1497013346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 MARYLAND WAY STE 115",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 MARYLAND WAY STE 115",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271076",
            "telephone_number": "615-804-6113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hq101 Univ Of Ky 800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360001",
            "country_code": "US",
            "telephone_number": "859-323-8082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Aesthetic Center for plastic surgery",
            "address_2": "12727 Kimberley Lane",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770270001",
            "country_code": "US",
            "telephone_number": "713-799-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 21st Ave S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37212",
            "country_code": "US",
            "telephone_number": "615-932-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWUBAH",
        "first_name": "NNEAMAKA",
        "middle_name": "AGOCHUKWU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-29",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "59912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NNEAMAKA",
            "last_name": "AGOCHUKWU",
            "middle_name": "BARBARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.