Individual provider Active NPI

Obioma B Nwaiwu, M.D

  • Geriatric Medicine (Family Medicine) Physician
  • Little Rock, AR
National Provider Identifier
1649634601
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
E-12659 Issued in AR
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

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730000626 AR Practitioner - Geriatric MedicinePractitioner - Family PracticePractitioner - Emergency Medicine 8426340357 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, 1,159 clinicians
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

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 Home health agency, Little Rock, AR, CCN 047028
  • University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016
  • Little River Memorial Hospital Hospital, Ashdown, AR, CCN 041320
  • Magnolia Regional Medical Center Hospital, Magnolia, AR, CCN 041336
  • Magnolia Regional Medical Center Hospital, Magnolia, AR, CCN 040067
  • Southwest Regional Medical Center LLC Hospital, Hope, AR, CCN 041335

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Emergency Medicine Current Accepting new patients
Ess Hospitalist LLC CurrentSince Jan 24, 2021 Accepting new patients
HCC of Warren LLC CurrentSince Jan 1, 2021 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Nov 1, 2021 Accepting new patients
Ess of Fordyce LLC Emergency Medicine CurrentSince Sep 14, 2020 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
HCC of Magnolia LLC CurrentSince May 1, 2025 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
HCC of Warren Hospitalist LLC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Emergency Staffing Solutions Region III Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.