NPIMap

Organization Active NPI

Chikwendu C Nwosu MD LLC

Doing business as Stripes Primary Care

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1508155979
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHIKWENDU C NWOSU MD LLC
Doing business as
Stripes Primary Care
Practice address
2919 S Ellsworth Rd Ste 139
Mesa, AZ 85212-2168
Phone
(480) 984-5225
Fax
(480) 984-5447
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Chikwendu Nwosu, MDNPI 1104994375
Title
Owner
Phone
(917) 474-0025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

2919 S Ellsworth Rd Ste 139
Mesa, AZ 85212-2168

Mailing address

2919 S Ellsworth Rd
Suite 139
Mesa, AZ 85212-2164
Phone (480) 984-5225

Other practice location 1

750 S Ironwood Dr Ste 101
Apache Junction, AZ 85120-5047
Phone (480) 984-5225

Other practice location 2

6820 S Kings Ranch Rd Ste 130
Gold Canyon, AZ 85118-2959
Phone (480) 984-5225

Other identifiers 1

IdentifierTypeStateIssuer
307499MedicaidAZ

Other names 1

  • Stripes Primary Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110427000205 AZ Part B Supplier - Clinic/Group Practice 5698950178 Receives reassigned benefits from 13 practitioners
Practice locations: Mesa, AZ; Gold Canyon, AZ; Apache Junction, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2051668Stripes Primary Care2919 S Ellsworth Rd, Ste 139, Mesa, AZ 85212Certificate of waiverDec 23, 2026
03D2309839Stripes Primary Care2919 S Ellsworth Rd Ste 101, Mesa, AZ 85212Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory

Locations

850 S Ironwood Dr
Apache Junction, AZ 85120

1075 S Idaho Rd
Ste 101
Apache Junction, AZ 85119
Phone (480) 982-3000

6820 S Kings Ranch Rd
Ste 5
Gold Canyon, AZ 85118

2919 S Ellsworth Rd
Ste 139
Mesa, AZ 85212
Phone (480) 246-3411

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1508155979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "address_2": "SUITE 139",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122164",
            "telephone_number": "480-984-5225",
            "fax_number": "480-984-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 139",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122168",
            "telephone_number": "480-984-5225",
            "fax_number": "480-984-5447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 S Ironwood Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851205047",
            "country_code": "US",
            "telephone_number": "480-984-5225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6820 S Kings Ranch Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Gold Canyon",
            "state": "AZ",
            "postal_code": "851182959",
            "country_code": "US",
            "telephone_number": "480-984-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHIKWENDU C NWOSU MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "NWOSU",
        "authorized_official_first_name": "CHIKWENDU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-474-0025",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307499",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stripes Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.