NPIMap

Individual provider Active NPI

Chiedozie I Nwagwu, MD

  • Neurological Surgery Physician
  • Mission Viejo, CA
National Provider Identifier
1669552808
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
000000A91714 Issued in CA
Practice address
26732 Crown Valley Pkwy Ste 541
Mission Viejo, CA 92691-6376
Phone
(949) 388-7190
Fax
(949) 388-7150
NPI assigned
Oct 16, 2006
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 216472 NY
Neurological Surgery Physician 207T00000X 000000A91714 CA Primary

Addresses

Primary practice location

26732 Crown Valley Pkwy Ste 541
Mission Viejo, CA 92691-6376

Mailing address

26732 Crown Valley Pkwy Ste 541
Mission Viejo, CA 92691-6376
Phone (949) 388-7190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050803001248 CA Practitioner - NeurosurgeryPractitioner - Interventional Radiology 9032147616 Reassigns benefits to 1 organization
I20200128002513 NY Practitioner - Neurosurgery 9032147616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: Interventional Radiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

26732 Crown Valley Pkwy
Suite 541
Mission Viejo, CA 92691-6376
Phone (949) 388-7190

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion34
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91714CAMDMental Health Counselor
000000A91714CAMDNeurological Surgery Physician
216472NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ched Nwagwu MD PC Neurological Surgery CurrentSince Dec 16, 2022 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Mar 28, 2020 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Mar 28, 2020 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Past Accepting new patients
Indiana University Health Inc Past Accepting new patients
St. Vincent Jennings Hospital, Inc. Past Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients
Indiana University Health, Inc Past Accepting new patients

Locations

26732 Crown Valley Pkwy
Ste 541
Mission Viejo, CA 92691
Phone (949) 388-7190

26732 Crown Valley Pkwy
Ste 561
Mission Viejo, CA 92691
Phone (714) 364-1060

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

1182 Troy Schenectady Rd
Ste 100
Latham, NY 12110
Phone (518) 269-4690

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cnwagwu2536547@oc.providencedirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1669552808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 541",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916376",
            "telephone_number": "949-388-7190",
            "fax_number": "949-388-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 541",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916376",
            "telephone_number": "949-388-7190",
            "fax_number": "949-388-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAGWU",
        "first_name": "CHIEDOZIE",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "216472",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "000000A91714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.