Nnemdi O Azubuko, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2336411 Issued in MA

Practice address

637 Washington St
Dorchester, MA 02124-3510

Phone

(617) 825-9660

Fax

(617) 288-7898

NPI assigned

Apr 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

VHM Services IncGroup PAC ID 4183637929, 22 clinicians

Codman Square Health Center, IncGroup PAC ID 8123013869, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boston Medical Center Hospital, Boston, MA, CCN 220031

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nazubuko182112@direct.bmc.masshiway.net
• Direct secure messaging: nazubuko35481@direct.bostonchildrens.org

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.

• Codman Square Health Center Inc

  • Community Health Clinic/Center
  • Dorchester Center, MA
  • NPI 1396808309
  Medicare reassignment Care Compare group NPD
• VHM Services, Inc.

  • Internal Medicine Physician
  • Framingham, MA
  • NPI 1508818618
  Medicare reassignment Care Compare group

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

• Boston Medical Center

  • Clinic/Center
  • Dorchester, MA
  • NPI 1487844726

  Hospital

  Care Compare affiliation
• Boston Medical Center Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1164177028
  Care Compare affiliation
• Boston Medical Center Corporation

  • Community Health Clinic/Center
  • South Boston, MA
  • NPI 1225228679

  Hospital

  Care Compare affiliation
• Boston Medical Center Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1346218294
  Care Compare affiliation
• Boston Medical Center Corporation

  • Community Health Clinic/Center
  • Roslindale, MA
  • NPI 1386718823

  Hospital

  Care Compare affiliation
• Boston Medical Center Corporation

  • Community Health Clinic/Center
  • Dorchester, MA
  • NPI 1780874677

  Hospital

  Care Compare affiliation
• Boston Medical Center Corporation

  • Community Health Clinic/Center
  • East Boston, MA
  • NPI 1861683518

  Hospital

  Care Compare affiliation
• Medical Associates of Ebnhc

  • Community Health Clinic/Center
  • East Boston, MA
  • NPI 1255451597

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1689295750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WASHINGTON ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021243510",
            "telephone_number": "617-825-9660",
            "fax_number": "617-288-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WASHINGTON ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021243510",
            "telephone_number": "617-825-9660",
            "fax_number": "617-288-7898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZUBUKO",
        "first_name": "NNEMDI",
        "middle_name": "O",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2336411",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2336411",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110164464A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://emerge-soap1.bmc.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Codman Square Health Center",
            "address_1": "637 Washington Street",
            "city": "Dorchester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luc Audate
• Geslaine Augustave
• Tatikqua Austin
• Lauren Meredith Avery, M.D.
• Ivana Aylwin
• Francine Botch Azzara, RN
• Daniel Max Babai, D.C.
• Teanna Babcock, RN
• Babette Home Care LLC
• Back to Life Chiropractic & Wellness

• Nurse Practitioner in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.

Verify at the official NPI Registry.