Individual provider Active NPI

Martin Nwabunike Nwosu

  • Internal Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1508976986
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42730 Issued in TN
Practice address
3163 S Church St
Ste B
Murfreesboro, TN 37127-7175
Phone
(615) 624-6643
Fax
(615) 900-1625
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42730 TN Primary

Addresses

Primary practice location

3163 S Church St
Ste B
Murfreesboro, TN 37127-7175

Mailing address

PO Box 331648
Murfreesboro, TN 37133-1648
Phone (615) 624-6643

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
I20090815000097 TN Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9638157811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Urgent Care LLCGroup PAC ID 1658496799, 2 clinicians

Practice addresses (Care Compare)

3163 S Church St
Suite B
Murfreesboro, TN 37127-7175
Phone 615624664310

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Services of Florida PA Internal Medicine Past Accepting new patients
Apogee Medical Group Tennessee PC Internal Medicine PastSince Oct 8, 2023 Accepting new patients
Oak Hill Hospitalist, LLC Internal Medicine Past Accepting new patients

Organizations & group practices 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1508976986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331648",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371331648",
            "telephone_number": "615-624-6643",
            "fax_number": "615-900-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3163 S CHURCH ST",
            "address_2": "STE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277175",
            "telephone_number": "615-624-6643",
            "fax_number": "615-900-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "MARTIN",
        "middle_name": "NWABUNIKE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "42730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.