Individual provider Active NPI

Chinedu Nwagwu, MD

  • Hospitalist Physician
  • Fresno, CA
National Provider Identifier
1770112054
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A183092 Issued in CA
Practice address
1303 E Herndon Ave Ste 850
Fresno, CA 93720-3309
Phone
(559) 450-3000
NPI assigned
Apr 7, 2020
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A183092 CA
Hospitalist Physician 208M00000X A183092 CA Primary

Addresses

Primary practice location

1303 E Herndon Ave Ste 850
Fresno, CA 93720-3309

Mailing address

1111 E Spruce Ave Ste 431
Fresno, CA 93720-3330
Phone (559) 450-7449

Other practice location 1

4770 W Herndon Ave Ste 110
Fresno, CA 93722-8401
Phone (559) 450-0463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230622001089 CA Practitioner - Family PracticePractitioner - Hospitalist 3072987759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Long Term Care Medical Group, IncGroup PAC ID 9032016068, 37 clinicians

Practice addresses (Care Compare)

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000

2108 Stillman St
Selma, CA 93662-3097
Phone (559) 896-4990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.57 of 100Reported as group
Quality
63.43
Promoting interoperability
98
Improvement activities
40
Cost
77.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Dec 30, 2024 Accepting new patients
Long Term Care Medical Group, Inc CurrentSince Jul 15, 2023 Accepting new patients
LQMG Medical Group Inc. Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Dec 30, 2024 Accepting new patients
Saint Agnes Medical Foundation Family Medicine CurrentSince Jul 30, 2023 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1111 E Spruce Ave
Ste 431
Fresno, CA 93720
Phone (559) 450-5611

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1303 E Herndon Ave
#105
Fresno, CA 93720

1303 E Herndon Ave
Ste 850
Fresno, CA 93720
Phone (559) 450-5672

4770 W Herndon Ave
Ste 110
Fresno, CA 93722
Phone (559) 450-0463

668 E Bullard Ave
Fresno, CA 93710
Phone (559) 320-2200

685 W Alluvial Ave
Ste 103
Fresno, CA 93711

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

2108 Stillman St
Selma, CA 93662
Phone (559) 896-4990

Interoperability endpoints

  • Direct secure messaging: cnwagwu2912308@direct.trinity-health.org
  • Direct secure messaging: cnwagwu62674@valleychildrens-prd.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1770112054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E SPRUCE AVE STE 431",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203330",
            "telephone_number": "559-450-7449",
            "fax_number": "559-450-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E HERNDON AVE STE 850",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203309",
            "telephone_number": "559-450-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 W Herndon Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937228401",
            "country_code": "US",
            "telephone_number": "559-450-0463",
            "fax_number": "559-450-0464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWAGWU",
        "first_name": "CHINEDU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A183092",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A183092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.