John Nwannunu, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01032665A Issued in IN

Practice address

1889 E State Road 44
Connersville
Connersville, IN 47331-8232

Phone

(832) 213-7392

NPI assigned

Sep 9, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• John M Nwannunu Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Albuquerque Indian Health Center

  • Clinic/Center
  • Albuquerque, NM
  • NPI 1659458917

  TX

  Medicare reassignment NPD
• Santa Ana Health Center

  • Health Service Clinic/Center
  • Bernalillo, NM
  • NPI 1649331323

  TX

  Medicare reassignment NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Northwest Procedures & Medical Center PC

  • Family Medicine Physician
  • Gary, IN
  • NPI 1316082266
  NPD (past)

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1508199530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 NEW VISION DR",
            "address_2": "CONNERSVILLE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451712",
            "telephone_number": "260-266-8210",
            "fax_number": "260-458-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1889 E STATE ROAD 44",
            "address_2": "CONNERSVILLE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318232",
            "telephone_number": "832-213-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANNUNU",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01032665A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "NWANNUNU",
            "middle_name": "M",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Neighborhood Health Center
• Nellis Adult Daycare LLC
• Brianna D Niehoff, OD
• David A. Niemiec, D.D.S.
• Katrina Norris, LCSW
• Orthopaedic Surgical Care Institute
• Jagdish R Patel, MD
• Suresh Patel, MD
• Usha S Patel, MD
• Becky Ann Paxton, RCSWI, MCAP

• Family Medicine Physician in Connersville, IN
• Providers in Connersville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.