Active NPI
Nkiruka Emeagwali, MD
- Pulmonary Disease Physician
- Wallingford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 15894
- Practice address
- 44 N Plains Industrial Road
Wallingford, CT 06492 - Phone
- (917) 881-8298
- NPI assigned
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LP02639 | RI | |
| Pediatrics Physician | 208000000X | LP02639 | RI | |
| Pulmonary Disease Physician | 207RP1001X | 15894 | ND | Primary |
Addresses
Primary practice location
44 N Plains Industrial Road
Wallingford, CT 06492
Mailing address
44 N Plains Industrial Road
Wallingford, CT 06492
Phone (917) 881-8298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Meharry Medical College School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000
1111 Marcus Ave
New Hyde Park, NY 11042-1034
27005 75TH Ave
New Hyde Park, NY 11040-1402
27005 76TH Ave GF
New Hyde Park, NY 11040-1402
Phone (718) 470-7501
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
900 Franklin Ave
Valley Stream, NY 11580-2145
Phone (516) 719-5024
Hospital & facility affiliations
- North Shore University Hospital
- Long Island Jewish Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305364 | NY | MD | Licensed Practical Nurse |
| LP02639 | RI | MD | Internal Medicine Physician |
| 15894 | ND | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| North Shore University Hospital | Past | Accepting new patients |
Locations
20 York St
North Haven, CT 06510
Phone (203) 688-2433
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
160 Allen St
Rutland, VT 05701
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 5
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.
-
- Specialist
- Rutland, VT
- NPI 1083678833
-
- Specialist
- Rutland, VT
- NPI 1578527578
-
- Psychiatric Hospital Unit
- Rutland, VT
- NPI 1467416206
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1578824637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 N PLAINS INDUSTRIAL ROAD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "06492",
"telephone_number": "917-881-8298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 N PLAINS INDUSTRIAL ROAD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "06492",
"telephone_number": "917-881-8298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMEAGWALI",
"first_name": "NKIRUKA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP02639",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "LP02639",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "ND",
"license": "15894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.
- 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.