Individual provider Active NPI

Chioma N Odukwe Enu, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • North Haven, CT
National Provider Identifier
1629332820
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000932 Issued in CT
Practice address
83 Washington Avenue
North Haven, CT 06473
Phone
(203) 787-3800
Fax
(203) 787-0004
NPI assigned
Jul 2, 2012
Last updated
Oct 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 000932 CT Primary

Addresses

Primary practice location

83 Washington Avenue
North Haven, CT 06473

Mailing address

83 Washington Avenue
North Haven, CT 06473
Phone (203) 787-3800

Other names 1

  • Chioma N Odukwe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007002258 CT Practitioner - Podiatry 5597073726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Podiatrist of Fairfield LLCGroup PAC ID 7618061052, 7 clinicians
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
Associated Podiatrists of North HavenGroup PAC ID 9830283795, 5 clinicians

Practice addresses (Care Compare)

1881 Post Rd
Fairfield, CT 06824-5721
Phone (203) 255-1036

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

83 Washington Ave
North Haven, CT 06473-1704
Phone (203) 787-3800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions54
Removal of nail tissue444
Removal or shaving of skin growth146
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Podiatrists of North Haven CurrentSince Aug 3, 2015 Accepting new patients
Associated Podiatrist of Fairfield, LLC Foot & Ankle Surgery CurrentSince Apr 1, 2017 Accepting new patients

Locations

1881 Post Rd
Fairfield, CT 06824
Phone (203) 255-1036

83 Washington Ave
North Haven, CT 06473
Phone (203) 285-8624

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1629332820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 WASHINGTON AVENUE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "06473",
            "telephone_number": "203-787-3800",
            "fax_number": "203-787-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 WASHINGTON AVENUE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "06473",
            "telephone_number": "203-787-3800",
            "fax_number": "203-787-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUKWE ENU",
        "first_name": "CHIOMA",
        "middle_name": "N",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "000932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIOMA",
            "last_name": "ODUKWE",
            "middle_name": "N",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.