Active NPI
Obioma B Nwaiwu, M.D
- Geriatric Medicine (Family Medicine) Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- E-12659
- Practice address
- 4301 W Markham St # 748
Little Rock, AR 72205-7101 - Phone
- (501) 686-6219
- NPI assigned
- Apr 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | E-12659 | AR | Primary |
| Emergency Medicine Physician | 207P00000X | E-12659 | AR | |
| Family Medicine Physician | 207Q00000X | E-12659 | AR |
Addresses
Primary practice location
4301 W Markham St # 748
Little Rock, AR 72205-7101
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000
451 W Locke St
Little River Mem Hosp
Ashdown, AR 71822-3325
Phone (870) 898-5011
Hospital & facility affiliations
- Elite Home Health
- University of Arkansas Medical Sciences
- Little River Memorial Hospital
- Magnolia Regional Medical Center
- Magnolia Regional Medical Center
- Southwest Regional Medical Center LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Emergency Medicine | Current | Accepting new patients |
| Ess Hospitalist LLC | Current | Accepting new patients | |
| HCC of Warren LLC | Current | Accepting new patients | |
| Hospital Care Consultants of Fordyce LLC | Current | Accepting new patients | |
| Ess of Fordyce LLC | Emergency Medicine | Current | Accepting new patients |
| Arkansas Emergency Staffing Solutions, Inc | Emergency Medicine | Current | Accepting new patients |
| HCC of Magnolia LLC | Current | Accepting new patients | |
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| HCC of Warren Hospitalist LLC | Emergency Medicine | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Family Medicine | Current | Accepting new patients |
| Emergency Staffing Solutions Region III | Emergency Medicine | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Current | Accepting new patients |
Locations
451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351
1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590
960 Highway 71 N
De Queen, AR 71832
Phone (870) 642-6420
201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300
4301 W Markham St
#748
Little Rock, AR 72205
Phone (501) 686-6219
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#530
Little Rock, AR 72205
Phone (501) 686-6560
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
629 Jack Stephens Dr
Little Rock, AR 72205
Phone (501) 526-5770
101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000
404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
Interoperability endpoints
- obioma.nwaiwu.1@14285.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
Emergency Medicine
-
- Emergency Medicine Physician
- Hope, AR
- NPI 1275774630
-
- Hospitalist Physician
- Crossett, AR
- NPI 1881967305
-
- Emergency Medicine Physician
- Fordyce, AR
- NPI 1821547977
-
- Hospitalist Physician
- Magnolia, AR
- NPI 1831865872
-
- Hospitalist Physician
- Fordyce, AR
- NPI 1316497464
-
- Emergency Medicine Physician
- Warren, AR
- NPI 1326641606
-
- Hospitalist Physician
- Warren, AR
- NPI 1952904237
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Psychologist
- Little Rock, AR
- NPI 1578643045
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Little Rock, AR
- NPI 1447597182
-
- Critical Access Hospital
- Ashdown, AR
- NPI 1326040007
-
- Critical Access Hospital
- Magnolia, AR
- NPI 1700407541
-
- Critical Access Hospital
- Hope, AR
- NPI 1164234308
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1477549756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1649634601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 748",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-6219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWAIWU",
"first_name": "OBIOMA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-06",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "AR",
"license": "E-12659",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E-12659",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-12659",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.