Okoroafor Nduka Maduagwu, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN 686 Issued in FL

Practice address

135 E 1St St
Lakeland, FL 33805-4609

Phone

(863) 686-2728

Fax

(863) 686-6737

NPI assigned

Mar 18, 2015

Last updated

Jun 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

General Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Holdings Company LLCGroup PAC ID 8224323050, 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Holdings Company LLC

  • Primary Care Clinic/Center
  • Coral Gables, FL
  • NPI 1336583707
  Medicare reassignment Care Compare group NPD
• Palm Medical Center Lakeland LLC

  • Clinic/Center
  • Lakeland, FL
  • NPI 1437650579
  Medicare reassignment NPD
• Palm Medical Centers

  • Clinic/Center
  • Dade City, FL
  • NPI 1952039562

  General Practice

  NPD

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1588058325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD",
            "address_2": "STE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346134",
            "telephone_number": "813-900-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E 1ST ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054609",
            "telephone_number": "863-686-2728",
            "fax_number": "863-686-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUAGWU",
        "first_name": "OKOROAFOR",
        "middle_name": "NDUKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-18",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19022",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN 686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Chacko Madathilethu, MBCHB, LLM
• Chrystal Maderitz
• Mandy-Faith Madigan
• Danielle Madison, DO
• Peter Madsen, DO
• Heather E Magee, PHD
• James Marshall Magnusen, MD
• Madeline A Magrina, SLP
• Jarretta Dee Mahalko, LCSW
• Helena Mahias-Cherry, MD

• General Practice Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.

Verify at the official NPI Registry.