Active NPI
Chidi Nwizu
- Infectious Disease Physician
- Baltimore, MD
National Provider Identifier
1750350484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- D67095
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 706-4613
- Fax
- (410) 706-4619
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | D67095 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 706-4613
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9606-0053 | Other | MD | CAREFIRST BC/BS |
| 942640-01 | Other | MD | BLUE SHIELD - MD |
| S062-0341 | Other | MD | BLUE CHOICE - REGIONAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibra Physicians LLC | Current | Accepting new patients | |
| Greenwood Leflore Hospital | Past | Accepting new patients | |
| Greenwood Leflore Hospital | Past | Accepting new patients |
Locations
5 E River Park Pl E
Ste 460
Fresno, CA 93720
10300 NE Hancock St
Portland, OR 97220
Phone (503) 257-5500
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1295704922
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1578595302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1750350484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64442",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644442",
"telephone_number": "410-706-4613",
"fax_number": "410-706-4619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-706-4613",
"fax_number": "410-706-4619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWIZU",
"first_name": "CHIDI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MD",
"license": "D67095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "9606-0053",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD - MD",
"identifier": "942640-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE - REGIONAL",
"identifier": "S062-0341",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.