Individual provider Active NPI

John I Nwogu, M.D.

  • Cardiovascular Disease Physician
  • Anniston, AL
National Provider Identifier
1750347183
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25365 Issued in AL
Practice address
901 Leighton Ave Ste 702
Anniston, AL 36207-5765
Phone
(256) 231-2577
Fax
(256) 231-2576
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25365 AL Primary

Addresses

Primary practice location

901 Leighton Ave Ste 702
Anniston, AL 36207-5765

Mailing address

PO Box 1380
Anniston, AL 36202-1380
Phone (256) 235-5860

Other identifiers 6

IdentifierTypeStateIssuer
263125MedicaidAL
51519304OtherALBLUE CROSS BLUE SHIELD OF ALABAMA / OXFORD OFFICE
51013275OtherALBLUE CROSS BLUE SHIELD OF ALABAMA / STRINGFELLOW HOSP
512-54187OtherALBLUE CROSS
51013248OtherALBLUE CROSS BLUE SHIELD OF ALABAMA / NEARMC HOSP
51517324OtherALBLUE CROSS BLUE SHIELD OF ALABAMA / ANNISTON OFFICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040124000186 AL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6709788227 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25365ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anniston Pathology Current Accepting new patients
The Health Care Authority of the City of Anniston CurrentSince Oct 23, 2003 Accepting new patients
Regional Health Management Corporation PastSince Apr 1, 2013 Accepting new patients
Regional Medical Center Board Past Accepting new patients

Locations

301 E 18th St
Anniston, AL 36207
Phone (256) 235-8900

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4
  • Direct secure messaging: johnnwogu@aca.allscriptsdirect.net

Organizations & group practices 5

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 3

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

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Health Care Authority of the City of Anniston 41 clinicians

Practice addresses (Care Compare)

400 E 10TH St
Anniston, AL 36202-4716
Phone (256) 235-5860

Hospital & facility affiliations

  • Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078
  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033

Merit-based Incentive Payment System (MIPS)

Final score
87.55 of 100Reported as individual
Quality
68.31
Promoting interoperability
100
Improvement activities
40
Cost
75.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting69
Varicose vein removal65
Leg revascularization (restoring blood flow)11

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1750347183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1380",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362021380",
            "telephone_number": "256-235-5860",
            "fax_number": "256-235-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE STE 702",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075765",
            "telephone_number": "256-231-2577",
            "fax_number": "256-231-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOGU",
        "first_name": "JOHN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "25365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263125",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA / OXFORD OFFICE",
            "identifier": "51519304",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA / STRINGFELLOW HOSP",
            "identifier": "51013275",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "512-54187",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA / NEARMC HOSP",
            "identifier": "51013248",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA / ANNISTON OFFICE",
            "identifier": "51517324",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.