Active NPI
Usonwanne Uchenna Ibekwe, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 67409
- Practice address
- 788 N Jefferson St Ste 300
Milwaukee, WI 53202-3710 - Phone
- (414) 272-8950
- Fax
- (414) 272-0859
- NPI assigned
- Apr 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 67409 | WI | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 67409 | WI | Primary |
Addresses
Primary practice location
788 N Jefferson St Ste 300
Milwaukee, WI 53202-3710
Mailing address
788 N Jefferson St Ste 300
Milwaukee, WI 53202-3710
Phone (414) 272-8950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730509639 | Medicaid | WI |
Other names 1
- Usonwanne Uchenna Nwosu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- Endocrinology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
788 N Jefferson St
Suite 201
Milwaukee, WI 53202-3710
Phone (414) 272-8950
9252 N Green Bay Rd
FL 2
Brown Deer, WI 53209-1104
Phone (414) 270-8150
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67409 | WI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Madison Medical Affiliates, Inc. | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Past | Accepting new patients |
Locations
7423 Solutions Ctr
Chicago, IL 60677
6900 N Port Washington Rd
Glendale, WI 53217
Phone (414) 270-8100
788 N Jefferson St
Ste 300
Milwaukee, WI 53202
Phone (414) 272-8950
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
9252 N Green Bay Rd
Fl 2
Milwaukee, WI 53209
Phone (414) 270-8150
788 N Jefferson St
Ste 201
Milwaukee, WI 53202
Phone (414) 226-4010
788 N Jefferson St
Ste 401
Milwaukee, WI 53202
Phone (414) 226-4020
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
Interoperability endpoints
- https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
dba Ascension Columbia St Mary's Hospital Milwaukee
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- General Practice Physician
- Milwaukee, WI
- NPI 1588695746
-
dba Ascension Columbia St Mary's Hospital Ozaukee
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
dba Ascension Columbia St Mary's Hospital Milwaukee
- Multi-Specialty Clinic/Center
- Mequon, WI
- NPI 1710928221
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
-
dba Ascension Columbia St Mary's Hospital Milwaukee Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1730509639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "788 N JEFFERSON ST STE 300",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532023710",
"telephone_number": "414-272-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "788 N JEFFERSON ST STE 300",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532023710",
"telephone_number": "414-272-8950",
"fax_number": "414-272-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBEKWE",
"first_name": "USONWANNE",
"middle_name": "UCHENNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-18",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "67409",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WI",
"license": "67409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730509639",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "USONWANNE",
"last_name": "NWOSU",
"middle_name": "UCHENNA",
"credential": "M.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.