NPIMap

Individual provider Active NPI

Chisom Nnadi, MD

  • Emergency Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1770110165
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME166766 Issued in FL
Practice address
160 NW 170TH St
North Miami Beach, FL 33169-5521
Phone
(305) 651-1100
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME166766 FL Primary

Addresses

Primary practice location

160 NW 170TH St
North Miami Beach, FL 33169-5521

Mailing address

160 NW 170TH St
North Miami Beach, FL 33169-5576
Phone (305) 651-1100

Other practice location 1

1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone (617) 414-4929

Other names 1

  • Dr. Chisom Chukwuemeka Brian Nnadi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240819003144 FL Practitioner - Emergency Medicine 6507276037 Reassigns benefits to 4 organizations
I20241030003883 TX Practitioner - Emergency Medicine 6507276037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Carlos Apache Healthcare CorporationGroup PAC ID 0648580597, 147 clinicians
Duval Emergency Group LLCGroup PAC ID 5991846370, 23 clinicians
Sheridan Emergency Physician Services of South Dade, IncGroup PAC ID 6305849449, 41 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

160 NW 170TH St
N Miami BCH, FL 33169-5576
Phone (305) 651-1100

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (954) 939-5000

9330
54 (Medical Center of Trinity)
Trinity, FL 34655-1808
Phone (727) 834-4000

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • San Carlos Apache Healthcare Corporation Hospital, Peridot, AZ, CCN 031320
  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • Littleton Regional Healthcare Hospital, Littleton, NH, CCN 301302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME166766FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation CurrentSince Sep 25, 2024 Accepting new patients
Duval Emergency Group LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Sep 25, 2024 Accepting new patients
Sheridan Emergency Physician Services of South Dade Inc Emergency Medicine CurrentSince Sep 13, 2025 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

462541 State Road 200
Yulee, FL 32097
Phone (904) 391-6300

Organizations & group practices 6

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1770110165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NW 170TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695576",
            "telephone_number": "305-651-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 170TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695521",
            "telephone_number": "305-651-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Boston Medical Ctr Pl",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182908",
            "country_code": "US",
            "telephone_number": "617-414-4929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NNADI",
        "first_name": "CHISOM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME166766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHISOM CHUKWUEMEKA",
            "last_name": "NNADI",
            "middle_name": "BRIAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.