Individual provider Active NPI

Chinedu Oluchi Ogwurike, MD

  • Family Medicine Physician
  • Providence, RI
National Provider Identifier
1689166720
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD17895 Issued in RI
Practice address
31 Atwood St
Providence, RI 02909-3410
Phone
(401) 444-0590
Fax
(401) 396-2084
NPI assigned
Jun 5, 2018
Reactivated
Feb 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD17895 RI Primary

Addresses

Primary practice location

31 Atwood St
Providence, RI 02909-3410

Mailing address

375 Allens Ave
Providence, RI 02905-5010
Phone (401) 780-2511

Other names 1

  • Oluchi Ogwurike Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oogwurike59973@HCNetwork.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20211011002333 RI Practitioner - Family Practice 5092113795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

355 Prairie Ave
Providence, RI 02905-1928
Phone (401) 444-0570

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17895RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Providence Community Health Centers, Inc CurrentSince Aug 16, 2021 Accepting new patients
The Providence Community Health Centers Inc. Past Accepting new patients

Locations

31 Atwood St
Providence, RI 02909
Phone (401) 444-0590

375 Allens Ave
Providence, RI 02905
Phone (401) 444-0400

Interoperability endpoints

  • Direct secure messaging: oogwurike59973@hcnetwork.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1689166720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ALLENS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055010",
            "telephone_number": "401-780-2511",
            "fax_number": "401-780-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ATWOOD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029093410",
            "telephone_number": "401-444-0590",
            "fax_number": "401-396-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGWURIKE",
        "first_name": "CHINEDU OLUCHI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "deactivation_date": "2019-01-25",
        "reactivation_date": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD17895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oogwurike59973@HCNetwork.direct-ci.com",
            "affiliation": "N",
            "address_1": "31 Atwood St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029093410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "OLUCHI",
            "last_name": "OGWURIKE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.